financial assistance under section 40 of the national health … · 2018-07-13 · financial...

July 2018

Financial Assistance under Section 40 of the National Health Service Act 2006 Report on the exercise of powers under subsection 40 of the National Health Service Act 2006 amended by the Health and Social Care Act 2012

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DH ID box

Title: Secretary of State’s report under section 40 of the National Health Service Act 2006 as amended by the Health and Social Care Act 2012

Author: Finance /Capital & Land Strategy/PF/14451

Document Purpose: Transparency

Publication date:

Target audience: MPs, NHS Trust CEs, Foundation Trust CEs, NHS Improvement, NHS England

Contact details:

Provider Investment

Department of Health and Social Care

Room 2S 10 Quarry House

Leeds

LS2 7 UE

[email protected]

You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit www.nationalarchives.gov.uk/doc/open-government-licence/ © Crown copyright 2016 Published to gov.uk, in PDF format only. www.gov.uk/dh

mailto:[email protected]

http://www.nationalarchives.gov.uk/doc/open-government-licence/

http://www.gov.uk/dh

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Contents Contents ..................................................................................................................................... 3

1. Introduction ......................................................................................................................... 5

2. Range of finance available to NHS Foundation Trusts (FTs) and NHS Trusts ................... 6

3. Normal Course of Business ................................................................................................ 7

Loans issued to FTs and NHS Trusts (Normal Course of Business) ........................................ 8

Strategic Investments (Capital PDC) ...................................................................................... 23

A&E (Capital PDC) ................................................................................................................. 23

Anti Microbiotic Research Fund (Capital PDC) ....................................................................... 26

Cancer Transformation (Capital PDC) .................................................................................... 26

Cyber Security (Capital PDC) ................................................................................................. 28

Estates and Technology Transformation Fund (Capital PDC) ................................................ 31

Genomics (Capital PDC) ........................................................................................................ 31

Provider Digitisation (Capital PDC) ........................................................................................ 32

Liver Cirrhosis Fibroscan Fund Virus (HCV Programme) (Capital PDC) ................................ 33

New and Replacement Radiotherapy Machines (Linear Accelerators) (Capital PDC) ........... 34

Perinatal Mental Health Mother & Baby Units (Capital PDC) ................................................. 35

Places of Safety (Mental Health) (Capital PDC) ..................................................................... 35

Psychiatric Intensive Care Units (Capital PDC) ...................................................................... 36

Proton Beam Therapy (Capital PDC) ..................................................................................... 37

Large Schemes (Capital and Revenue PDC) ......................................................................... 37

NHS WiFi Secondary Care Implementation & Fast Followers (Capital PDC) ......................... 38

Winter Pressures Capital Funding (Capital PDC) ................................................................... 39

Other Strategic Investments (Capital and Revenue PDC) ...................................................... 40

4. Interim Support ................................................................................................................. 41

Interim Revenue Support (Loans) .......................................................................................... 41

Interim Revenue Support (PDC) ............................................................................................. 80

Interim Capital Support (Loan) ............................................................................................... 80

Interim Capital Support (PDC) ................................................................................................ 85

5. Planned Term Support ...................................................................................................... 86

The Acquisition of Manchester Mental Health & Social Care NHS Trust by Greater Manchester Mental Health NHS Foundation Trust ................................................................. 86

Acquisition of Barnet and Chase Farm Hospitals NHS Trust by the Royal Free London NHS FT ........................................................................................................................................... 86

Acquisition of Heatherwood and Wexham Park NHS FT by Frimley Park Hospital NHS FT .. 87

Financial Assistance under Section 40 of the National Health Service Act 2006

4

Dissolution of Mid Staffordshire NHS FT ................................................................................ 88

Acquisition of the Royal National Hospital for Rheumatic Diseases NHS FT by the Royal United Hospitals Bath NHS FT ............................................................................................... 88

Acquisition of West Middlesex NHS Trust by Chelsea and Westminster NHS FT .................. 89

Other Planned Term Support ................................................................................................. 89

6. PDC Balances .................................................................................................................. 91

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1. Introduction 1.1 Under Section 40 of the NHS Act 2006, the Secretary of State may give financial assistance, such as loans or Public Dividend Capital, PDC, to any NHS Foundation Trust (FT). He has similar powers to provide financial assistance to NHS Trusts under Schedule 5 of the NHS Act 2006. 1.2 As also required by section 40 of the NHS Act 2006 (as inserted by section 163 of the Health and Social Care Act 2012)1 this report sets out the detail of how this power has been exercised in the financial year 2017-18 in respect of the amount of loans and PDC issued 1.3 In relation to loan payments made under these powers, the report sets out:

• the amount outstanding at the beginning of the year.

• the amount, if any, outstanding at the end of the year.

• any other terms on which the loan was made. 1.4 This report also sets out the value of PDC issued by the department including:

• the purpose for the award of PDC.

• the value of the PDC balances for FTs and NHS Trusts at the end of the year.

1 http://www.legislation.gov.uk/ukpga/2012/7/contents/enacted/data.htm

http://www.legislation.gov.uk/ukpga/2012/7/contents/enacted/data.htm


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2. Range of finance available to NHS Foundation Trusts (FTs) and NHS Trusts

2.1 Full details of the finance available to FTs and NHS Trusts are set out in the Secretary of State's Guidance under section 42A of the National Health Service Act 2006. This also includes procedures, criteria, terms and conditions for providing loans and PDC to FTs and NHS Trusts. A copy of this guidance is available from the GOV.UK website.2 2.2 The Guidance sets out the range of circumstances in which the department provides funding. These can be separated into the following scenarios:

• Normal Course of Business. The department is able to provide loans for capital investment and/or to support short term working capital requirements where there is evidence of longer term viability and an ability to repay.

• The department may also provide finance for strategic investments that are in the public interest, in the form of loans and/or PDC, to FTs or NHS Trusts in order to deliver national policies or priorities.

• Interim Support. The department may also provide loans and, in exceptional circumstances, PDC to FTs and NHS Trusts which are in financial difficulty but only in such circumstances where it is necessary to support the continued delivery of services. This finance is normally a precursor to a longer-term Recovery Plan.

• Planned Term Support. Where a Recovery Plan is developed and agreed, longer term financial support is available. This support is expected to provide sufficient certainty and stability to aid recovery.

2.3 This report sets out the details of how these duties have been exercised in 2017-18.

2 http://www.gov.uk/government/publications/guidance-on-financing-available-to-nhs-trusts-and-foundation-trusts

http://www.gov.uk/government/publications/guidance-on-financing-available-to-nhs-trusts-and-foundation-trusts

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3. Normal Course of Business 3.1 As part of the normal course of business the department may provide loan financing to FTs or NHS Trusts. The department may also provide loans and/or PDC for strategic investments that are in the public interest. This section sets out the details of such payments. Loan Financing 3.2 Loans are provided for capital investment (capital) and to support working capital requirements (revenue) in the normal course of business. A loan will only be provided where there is a reasonable expectation that it will be repaid in accordance with the terms on which it will be made. 3.3 The appraisal will assess an FT or NHS Trust's ability to service its liabilities, including the additional financial obligation being entered into, taking into account risk factors which might impact on its ability to make repayments. These factors might, for example, include changes in demand in services, changes in commissioning policy, the likelihood of project cost overruns or the ability to deliver ambitious cost improvement programmes 3.4 The following factors will be considered when determining terms and conditions of loans:

• the level of risk represented by particular classes of investment.

• the importance of allocating the finance available for investment in NHS Services efficiently.

• the desirability of avoiding distortion to the pricing mechanisms under which NHS services are provided.

3.5. Appropriate terms will be determined for repayment of the principal, including whether this should be by equal instalments, in full at maturity or subject to another arrangement. 3.6. Capital investment loans may be made in the normal course of business for, typically, any period up to 25 years although, in a small number of cases, they may be agreed for longer periods, but subject to the term not exceeding the useful economic life of the underlying asset or investment.

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Loans issued to FTs and NHS Trusts (Normal Course of Business)

Org Code Trust Name Loan Type

Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)

Drawn in Year 2017-18

(£000)

Repaid in Year 2017-18 (£000)

Closing Balance

@ 31/03/2018

(£000)

REM Aintree University Hospitals NHS Foundation Trust Capital 15,000 25/0 14,082 - 612 13,470



RCF Airedale NHS Foundation Trust Capital 4,800 10/0 2,023 - 505 1,518

RBS Alder Hey Childrens NHS Foundation Trust Capital 3,000 25/0 2,760 - 120 2,640

RBS Alder Hey Childrens NHS Foundation Trust Capital 15,000 25/0 594 2,850 - 3,444

RBS Alder Hey Childrens NHS Foundation Trust Capital 4,886 10/0 3,956 - 465 3,491

RBS Alder Hey Childrens NHS Foundation Trust Capital 35,114 25/0 32,122 - 1,496 30,626

RRP Barnet, Enfield and Haringey Mental Health NHS Trust Capital 12,400 25/0 8,665 - 498 8,167

R1H Barts Health NHS Trust Capital 3,995 0/0 1,998 - 1,998 -

R1H Barts Health NHS Trust Capital 8,083 10/0 2,831 - 808 2,023

RDD Basildon and Thurrock University Hospitals NHS Foundation Trust Capital 1,600 25/0 928 - 64 864

RDD Basildon and Thurrock University Hospitals NHS Foundation Trust Capital 6,300 10/0 4,818 - 741 4,077



RXT Birmingham & Solihull Mental Health NHS Foundation Trust Capital 16,900 25/0 13,148 - 750 12,398

RXT Birmingham & Solihull Mental Health NHS Foundation Trust Capital 33,000 25/0 27,271 - 1,432 25,839

RQ3 Birmingham Women and Childrens NHS Foundation Trust Capital 16,100 15/0 - 2,100 - 2,100

RXL Blackpool Teaching Hospitals NHS Foundation Trust Capital 9,250 7/0 6,537 - 1,452 5,085

RXL Blackpool Teaching Hospitals NHS Foundation Trust Capital 16,500 25/0 14,098 - 686 13,411

RXL Blackpool Teaching Hospitals NHS Foundation Trust Capital 25,000 25/0 18,490 - 1,085 17,405

RMC Bolton NHS Foundation Trust Capital 2,600 10/0 1,300 - 260 1,040

RMC Bolton NHS Foundation Trust Capital 13,100 10/0 - 2,110 - 2,110

RMC Bolton NHS Foundation Trust Capital 24,500 25/0 8,066 5,308 - 13,374

Normal Course of Business

9


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

RMC Bolton NHS Foundation Trust Capital 19,998 20/0 14,459 - 1,108 13,351

RAE Bradford Teaching Hospitals NHS Foundation Trust Capital 10,000 10/0 2,000 - 1,000 1,000



RXH Brighton and Sussex University Hospitals NHS Trust Capital 6,238 10/0 5,302 - 624 4,679





RXQ Buckinghamshire Healthcare NHS Trust Revenue 8,000 7/0 3,432 - 1,142 2,290

RWY Calderdale and Huddersfield NHS Foundation Trust Capital 2,050 0/0 1,550 - 1,000 550

RWY Calderdale and Huddersfield NHS Foundation Trust Capital 30,000 15/0 20,429 8,000 1,928 26,501

RGT Cambridge University Hospitals NHS Foundation Trust Capital 10,000 10/0 2,500 - 1,000 1,500

RGT Cambridge University Hospitals NHS Foundation Trust Capital 10,000 25/0 6,800 - 400 6,400

RGT Cambridge University Hospitals NHS Foundation Trust Capital 21,300 25/0 12,980 - 924 12,056



RV3 Central and North West London Mental Health NHS Foundation Trust Capital 6,830 10/0 6,111 - 719 5,393

RQM Chelsea & Westminster Hospital NHS Foundation Trust Capital 9,838 25/0 6,510 2,000 271 8,239

RQM Chelsea & Westminster Hospital NHS Foundation Trust Capital 15,000 10/0 13,422 - 1,578 11,844

RQM Chelsea & Westminster Hospital NHS Foundation Trust Revenue 42,045 25/0 39,522 - 1,682 37,841

RFS Chesterfield Royal Hospital NHS Foundation Trust Capital 8,510 10/0 2,005 - 1,001 1,004

RFS Chesterfield Royal Hospital NHS Foundation Trust Capital 16,200 12/0 15,530 670 810 15,390

RLN City Hospitals Sunderland NHS Foundation Trust Capital 3,000 10/0 2,550 - 300 2,250





10


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)


RLN City Hospitals Sunderland NHS Foundation Trust Capital 28,000 25/0 21,470 - 1,187 20,283

REN Clatterbridge Centre for Oncology NHS Foundation Trust Capital 5,000 20/0 3,250 - 250 3,000

RDE Colchester University Hospital NHS Foundation Trust Capital 4,000 0/0 4,000 - - 4,000

RDE Colchester University Hospital NHS Foundation Trust Capital 22,000 20/0 19,030 - 1,188 17,842

RJR Countess Of Chester Hospital NHS Foundation Trust Capital 4,500 5/0 1,000 - 1,000 -

RJR Countess Of Chester Hospital NHS Foundation Trust Capital 6,000 10/0 1,997 - 667 1,330

RJR Countess Of Chester Hospital NHS Foundation Trust Capital 5,000 10/0 2,370 - 526 1,844

RJR Countess Of Chester Hospital NHS Foundation Trust Capital 8,090 15/0 - 8,090 - 8,090

RJR Countess Of Chester Hospital NHS Foundation Trust Capital 11,000 7/0 8,462 - 1,692 6,771

RJR Countess Of Chester Hospital NHS Foundation Trust Capital 16,800 15/0 13,070 - 1,243 11,827

RTG Derby Teaching Hospitals NHS Foundation Trust Capital 15,900 12/0 1,590 - 1,590 -

RTG Derby Teaching Hospitals NHS Foundation Trust Capital 3,710 0/0 3,710 - - 3,710

RWV Devon Partnership NHS Trust Capital 1,266 10/0 510 - 126 384

RWV Devon Partnership NHS Trust Capital 3,700 5/0 - 3,700 - 3,700

RWV Devon Partnership NHS Trust Capital 16,734 10/6 8,128 - 1,626 6,502

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Capital 2,000 10/0 500 - 200 300

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Capital 3,400 15/0 1,136 - 226 909

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Capital 3,825 0/0 2,600 - 775 1,825

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Capital 12,200 10/0 8,991 - 1,283 7,708

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Capital 13,300 25/0 12,757 - 543 12,215

RBD Dorset County Hospital NHS Foundation Trust Capital 5,300 10/0 4,600 - - 4,600

RWH East and North Hertfordshire NHS Trust Capital 1,631 24/6 1,235 - 66 1,169






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Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)



RXR East Lancashire Hospitals NHS Trust Capital 2,000 10/0 1,600 - 200 1,400

RXC East Sussex Healthcare NHS Trust Capital 1,500 10/3 293 - 142 151

RXC East Sussex Healthcare NHS Trust Capital 4,000 20/6 2,565 - 198 2,367

R1L Essex Partnership University NHS Foundation Trust Capital 8,000 10/0 1,464 - 978 485

R1L Essex Partnership University NHS Foundation Trust Capital 5,000 10/0 2,500 - 500 2,000



R1L Essex Partnership University NHS Foundation Trust Revenue 6,114 5/0 6,114 - - 6,114

RR7 Gateshead Health NHS Foundation Trust Capital 2,500 7/0 1,608 - 357 1,251

RR7 Gateshead Health NHS Foundation Trust Capital 22,000 25/0 19,004 - 999 18,005

RTE Gloucestershire Hospitals NHS Foundation Trust Capital 7,700 10/0 3,172 - 906 2,267

RTE Gloucestershire Hospitals NHS Foundation Trust Capital 39,839 25/0 26,007 - 1,729 24,278

RN3 Great Western Hospitals NHS Foundation Trust Capital 1,100 10/0 935 - 110 825

RN3 Great Western Hospitals NHS Foundation Trust Revenue 8,900 10/0 8,377 - 1,047 7,330

RXV Greater Manchester West Mental Health NHS Foundation Trust Capital 4,800 14/9 3,097 - 324 2,773

RJ1 Guy's and St Thomas' NHS Foundation Trust Capital 5,000 5/0 625 - 625 -

RJ1 Guy's and St Thomas' NHS Foundation Trust Capital 10,000 25/0 - 7,000 - 7,000

RJ1 Guy's and St Thomas' NHS Foundation Trust Capital 9,000 8/0 7,875 - 1,125 6,750

RJ1 Guy's and St Thomas' NHS Foundation Trust Capital 14,000 25/0 14,000 - 582 13,418

RJ1 Guy's and St Thomas' NHS Foundation Trust Capital 27,232 15/0 11,271 4,604 - 15,875

RJ1 Guy's and St Thomas' NHS Foundation Trust Capital 33,768 25/0 22,016 1,084 - 23,100




RN5 Hampshire Hospitals NHS Foundation Trust Capital 6,000 10/0 4,106 - 631 3,475


12


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

RN5 Hampshire Hospitals NHS Foundation Trust Capital 5,000 25/0 4,796 - 204 4,592

RN5 Hampshire Hospitals NHS Foundation Trust Capital 7,000 7/0 5,923 - 1,077 4,847

RN5 Hampshire Hospitals NHS Foundation Trust Revenue 10,000 5/0 5,300 9,700 5,000 10,000

RCD Harrogate and District NHS Foundation Trust Capital 1,500 10/0 1,000 - 167 833

RCD Harrogate and District NHS Foundation Trust Capital 1,500 10/0 1,350 - 150 1,200


RCD Harrogate and District NHS Foundation Trust Capital 3,800 10/0 - 3,628 - 3,628

RCD Harrogate and District NHS Foundation Trust Capital 6,900 10/0 - 5,986 - 5,986


RY4 Hertfordshire Community NHS Trust Capital 3,500 20/0 2,708 - 176 2,532

RWR Hertfordshire Partnership NHS Foundation Trust Capital 6,790 5/0 6,790 - - 6,790

RWR Hertfordshire Partnership NHS Foundation Trust Capital 32,000 25/0 11,118 - 530 10,588

RQX Homerton University Hospital NHS Foundation Trust Capital 2,564 25/0 475 - 36 439

RQX Homerton University Hospital NHS Foundation Trust Capital 3,005 23/0 777 - 60 717

RQX Homerton University Hospital NHS Foundation Trust Capital 4,700 25/0 4,407 - 196 4,211

RWA Hull and East Yorkshire Hospitals NHS Trust Capital 12,300 20/0 7,372 - 616 6,756

RWA Hull and East Yorkshire Hospitals NHS Trust Capital 13,034 20/6 8,355 - 644 7,711

RV9 Humber NHS Foundation Trust Capital 450 25/0 - 450 9 441

RV9 Humber NHS Foundation Trust Capital 2,500 25/0 2,012 - 109 1,903

RV9 Humber NHS Foundation Trust Capital 3,625 24/8 2,457 - 146 2,311

RYJ Imperial College Healthcare NHS Trust Capital 24,500 20/0 17,144 - 1,226 15,918

RXY Kent and Medway NHS and Social Care Partnership Trust Capital 4,000 5/0 2,400 - 800 1,600

RNQ Kettering General Hospital NHS Foundation Trust Capital 20,000 15/0 12,600 - 1,480 11,120

RJZ King's College Hospital NHS Foundation Trust Capital 4,500 10/0 1,350 - 450 900

RJZ King's College Hospital NHS Foundation Trust Capital 10,400 25/0 6,469 - 562 5,907

RJZ King's College Hospital NHS Foundation Trust Capital 60,000 23/0 54,288 - 2,856 51,432

RAX Kingston Hospital NHS Foundation Trust Capital 10,000 20/0 9,460 - 540 8,920


13


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

RW5 Lancashire Care NHS Foundation Trust Capital 8,800 25/0 7,568 - 352 7,216

RW5 Lancashire Care NHS Foundation Trust Capital 52,100 25/0 47,661 - 2,219 45,442

RXN Lancashire Teaching Hospitals NHS Foundation Trust Capital 2,200 10/0 580 - 231 348

RXN Lancashire Teaching Hospitals NHS Foundation Trust Capital 2,500 25/0 2,300 - 100 2,200


RXN Lancashire Teaching Hospitals NHS Foundation Trust Capital 10,000 10/0 5,625 - 1,250 4,375

RXN Lancashire Teaching Hospitals NHS Foundation Trust Capital 10,000 10/0 6,472 - 1,176 5,296


RR8 Leeds Teaching Hospitals NHS Trust Capital 10,000 10/0 4,500 - 1,000 3,500

RR8 Leeds Teaching Hospitals NHS Trust Capital 9,000 20/0 6,975 - 450 6,525



RT5 Leicestershire Partnership NHS Trust Capital 4,000 25/0 4,000 - 163 3,837

RJ2 Lewisham and Greenwich Healthcare NHS Trust Capital 302 23/8 242 - 12 230

RJ2 Lewisham and Greenwich Healthcare NHS Trust Capital 4,566 24/8 3,474 - 182 3,292


RP7 Lincolnshire Partnership NHS Foundation Trust Capital 6,000 10/0 2,664 - 667 1,997

REP Liverpool Womens Hospital NHS Foundation Trust Capital 6,000 10/0 4,583 - 612 3,971

R1K London North West Healthcare NHS Trust Capital 600 14/9 348 - 42 306

R1K London North West Healthcare NHS Trust Capital 1,400 14/9 789 - 94 695

RC9 Luton and Dunstable Hospital NHS Foundation Trust Capital 19,900 25/0 19,640 - 835 18,805

RWF Maidstone and Tunbridge Wells NHS Trust Capital 12,000 10/0 4,200 - 1,200 3,000

RWF Maidstone and Tunbridge Wells NHS Trust Capital 6,000 24/9 4,440 - 240 4,200

RWF Maidstone and Tunbridge Wells NHS Trust Capital 11,000 15/0 5,862 - 734 5,128

R0A Manchester University NHS Foundation Trust Capital 9,000 10/0 900 - 450 450

R0A Manchester University NHS Foundation Trust Capital 11,000 10/0 1,100 - 550 550

R0A Manchester University NHS Foundation Trust Capital 20,000 10/0 4,432 - 2,224 2,208


14


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

R0A Manchester University NHS Foundation Trust Capital 8,000 20/0 4,844 - 421 4,423

R0A Manchester University NHS Foundation Trust Capital 20,000 20/0 14,852 - 1,144 13,708

R0A Manchester University NHS Foundation Trust Capital 20,000 25/0 16,448 - 888 15,560

R0A Manchester University NHS Foundation Trust Capital 20,000 10/0 17,500 2,500 - 20,000

R0A Manchester University NHS Foundation Trust Capital 40,000 25/0 37,600 2,400 - 40,000

R0A Manchester University NHS Foundation Trust Revenue 25,000 18/0 7,300 3,100 - 10,400

RPA Medway NHS Foundation Trust Capital 1,600 7/0 686 - 228 458

RPA Medway NHS Foundation Trust Capital 3,100 25/0 2,784 - 126 2,657

RPA Medway NHS Foundation Trust Capital 5,435 7/0 2,927 - 836 2,091

RBT Mid Cheshire Hospitals NHS Foundation Trust Capital 1,200 25/0 1,176 - 49 1,127



RXF Mid Yorkshire Hospitals NHS Trust Capital 15,000 14/9 8,500 - 1,000 7,500

RD8 Milton Keynes General Hospital NHS Foundation Trust Capital 4,000 10/0 1,331 - 445 886

RP6 Moorfields Eye Hospital NHS Foundation Trust Capital 30,900 25/0 18,524 - 823 17,700

RP6 Moorfields Eye Hospital NHS Foundation Trust Capital 25,000 25/0 22,500 - 1,000 21,500

RMY Norfolk and Suffolk NHS Foundation Trust Capital 4,720 20/0 2,787 - 242 2,545



RVJ North Bristol NHS Trust Capital 13,000 25/0 9,100 - 520 8,580

RVJ North Bristol NHS Trust Revenue 52,000 20/0 8,990 - 900 8,090

RNL North Cumbria University Acute Hospitals NHS Trust Revenue 800 14/6 282 - 56 226

RNL North Cumbria University Acute Hospitals NHS Trust Revenue 12,000 15/0 4,000 - 800 3,200

RAP North Middlesex University Hospital NHS Trust Capital 1,900 9/9 1,045 - 190 855

RAP North Middlesex University Hospital NHS Trust Capital 2,800 10/0 2,240 - 280 1,960

RAP North Middlesex University Hospital NHS Trust Capital 13,200 15/0 7,480 - 880 6,600

RVW North Tees and Hartlepool NHS Foundation Trust Capital 25,000 25/0 4,000 8,300 - 12,300


15


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

RGN North West Anglia NHS Foundation Trust Capital 1,000 24/9 820 - 40 780

RGN North West Anglia NHS Foundation Trust Capital 2,000 25/0 1,800 - 80 1,720

RTV North West Boroughs Healthcare NHS Foundation Trust Capital 3,500 10/0 3,316 - 368 2,948



RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Capital 2,177 0/0 1,292 - 530 762

RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Capital 8,845 15/0 7,667 - 589 7,078

RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Capital 10,000 15/0 8,520 - 740 7,780

RX4 Northumberland, Tyne and Wear NHS Foundation Trust Capital 3,000 25/0 2,760 - 120 2,640

RX4 Northumberland, Tyne and Wear NHS Foundation Trust Capital 26,000 10/0 6,921 - 2,766 4,155



RX4 Northumberland, Tyne and Wear NHS Foundation Trust Capital 40,000 25/0 34,888 - 1,704 33,184

RTF Northumbria Healthcare NHS Foundation Trust Capital 12,600 25/0 11,088 - 504 10,584

RTF Northumbria Healthcare NHS Foundation Trust Capital 50,000 25/0 39,400 - 2,120 37,280

RX1 Nottingham University Hospitals NHS Trust Capital 6,823 10/0 3,413 - 682 2,731

RX1 Nottingham University Hospitals NHS Trust Capital 14,228 24/6 10,808 - 570 10,238

RNU Oxford Health NHS Foundation Trust Capital 28,100 25/0 22,750 - 1,338 21,412

RTH Oxford University Hospitals NHS Foundation Trust Capital 6,141 10/0 615 - 615 -

RTH Oxford University Hospitals NHS Foundation Trust Capital 7,900 10/0 1,580 - 790 790

RGM Papworth Hospital NHS Foundation Trust Capital 40,000 10/0 - 8,250 8,250 -

RGM Papworth Hospital NHS Foundation Trust Capital 10,000 5/0 10,000 - - 10,000

RW6 Pennine Acute Hospitals NHS Trust Capital 4,500 24/8 3,420 - 180 3,240



RW6 Pennine Acute Hospitals NHS Trust Capital 42,050 24/8 29,401 - 1,743 27,658

RT2 Pennine Care NHS Foundation Trust Capital 10,000 10/0 2,500 - 1,250 1,250


16


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

RK9 Plymouth Hospitals NHS Trust Capital 7,000 10/0 1,400 - 700 700

RD3 Poole Hospital NHS Foundation Trust Capital 10,900 10/0 7,051 900 1,005 6,946

RD3 Poole Hospital NHS Foundation Trust Capital 9,100 20/0 3,305 5,750 307 8,748

RHU Portsmouth Hospitals NHS Trust Revenue 1,300 5/0 780 - 260 520

RPC Queen Victoria Hospital NHS Foundation Trust Capital 10,100 15/0 7,378 - 778 6,600

RL1 Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust Capital 500 9/10 25 - 25 -

RL1 Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust Capital 10,000 10/0 9,412 - 1,176 8,236

RXE Rotherham Doncaster and South Humber NHS Foundation Trust Capital 12,000 25/0 6,384 - 363 6,021

RHW Royal Berkshire NHS Foundation Trust Capital 15,000 10/0 8,250 - 1,500 6,750

RHW Royal Berkshire NHS Foundation Trust Capital 24,000 18/0 14,986 - 1,502 13,483

RT3 Royal Brompton & Harefield NHS Foundation Trust Capital 20,000 15/0 17,500 2,500 1,480 18,520

RT3 Royal Brompton & Harefield NHS Foundation Trust Capital 30,000 15/0 30,000 - 2,400 27,600

REF Royal Cornwall Hospitals NHS Trust Capital 2,000 7/0 713 - 286 427

REF Royal Cornwall Hospitals NHS Trust Capital 5,000 10/0 3,888 - 556 3,332

REF Royal Cornwall Hospitals NHS Trust Capital 6,161 10/0 - 6,161 597 5,564

REF Royal Cornwall Hospitals NHS Trust Revenue 2,000 7/0 713 - 286 427

REF Royal Cornwall Hospitals NHS Trust Revenue 24,733 15/0 21,439 - 1,647 19,791

RH8 Royal Devon and Exeter NHS Foundation Trust Capital 10,000 25/0 6,000 - 400 5,600

RH8 Royal Devon and Exeter NHS Foundation Trust Capital 17,000 20/0 7,861 - 870 6,990

RAL Royal Free London NHS Foundation Trust Capital 30,000 20/0 26,844 - 1,578 25,266

RA2 Royal Surrey County NHS Foundation Trust Capital 1,860 25/0 1,786 - 74 1,711



RD1 Royal United Hospitals Bath NHS Foundation Trust Capital 10,000 10/3 4,955 - 990 3,965

RD1 Royal United Hospitals Bath NHS Foundation Trust Capital 7,665 25/0 7,352 - 313 7,040

RD1 Royal United Hospitals Bath NHS Foundation Trust Capital 7,639 5/0 637 6,818 7,455 -

RD1 Royal United Hospitals Bath NHS Foundation Trust Capital 9,936 7/0 8,281 - 1,655 6,625


17


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

RM3 Salford Royal NHS Foundation Trust Capital 10,000 20/0 8,464 - 512 7,952

RNZ Salisbury NHS Foundation Trust Capital 6,000 10/0 5,369 - 631 4,738

RCU Sheffield Children's NHS Foundation Trust Capital 5,000 25/0 4,149 - 237 3,912



RCU Sheffield Children's NHS Foundation Trust Capital 25,000 25/0 22,870 - 1,065 21,805

RHQ Sheffield Teaching Hospitals NHS Foundation Trust Capital 18,300 25/0 11,284 - 780 10,504

RHQ Sheffield Teaching Hospitals NHS Foundation Trust Capital 16,000 25/0 12,006 - 666 11,341

RH5 Somerset Partnership NHS Foundation Trust Capital 2,000 10/0 1,500 - 200 1,300

RYE South Central Ambulance Service NHS Foundation Trust Capital 3,551 10/3 678 - 338 340

RYE South Central Ambulance Service NHS Foundation Trust Capital 7,000 5/0 4,200 - 1,400 2,800

RRE South Staffordshire and Shropshire Healthcare NHS Foundation Trust Capital 30,000 25/0 25,338 - 1,332 24,006

RTR South Tees Hospitals NHS Foundation Trust Capital 6,750 10/0 3,372 - 751 2,622

RTR South Tees Hospitals NHS Foundation Trust Capital 8,600 8/0 4,302 - 1,228 3,074



RE9 South Tyneside NHS Foundation Trust Capital 8,000 10/0 7,555 - 890 6,666

RE9 South Tyneside NHS Foundation Trust Capital 9,500 10/0 8,444 - 1,056 7,387

RE9 South Tyneside NHS Foundation Trust Revenue 8,000 4/0 3,500 4,500 1,334 6,666

RJC South Warwickshire NHS Foundation Trust Capital 30,000 25/0 30,000 - 1,428 28,572

RYF South Western Ambulance Service NHS Foundation Trust Capital 4,500 10/3 1,718 - 428 1,290

RVY Southport and Ormskirk Hospital NHS Trust Capital 3,200 8/6 2,200 - 400 1,800

RJ7 St George's University Hospitals NHS Foundation Trust Capital 14,747 25/0 13,849 - 602 13,247

RJ7 St George's University Hospitals NHS Foundation Trust Revenue 15,000 15/0 13,002 - 999 12,003

RWJ Stockport NHS Foundation Trust Capital 4,000 25/0 2,720 - 160 2,560




18


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)


RTP Surrey and Sussex Healthcare NHS Trust Capital 4,650 10/0 1,621 - 466 1,155



RTP Surrey and Sussex Healthcare NHS Trust Revenue 56,000 25/0 3,248 - 216 3,032

RDR Sussex Community NHS Foundation Trust Capital 1,550 10/0 848 - 156 692

RDR Sussex Community NHS Foundation Trust Capital 1,200 10/0 960 - 120 840

RDR Sussex Community NHS Foundation Trust Capital 3,000 10/0 2,100 - 300 1,800

RDR Sussex Community NHS Foundation Trust Capital 3,000 10/0 2,700 - 300 2,400

RBA Taunton and Somerset NHS Foundation Trust Capital 12,000 20/0 9,408 - 648 8,760

RNK Tavistock and Portman NHS Foundation Trust Capital 4,000 10/0 - 1,000 - 1,000

RX3 Tees, Esk and Wear Valleys NHS Foundation Trust Capital 15,000 5/0 9,000 - 3,000 6,000

RBV The Christie Hospital NHS Foundation Trust Capital 21,000 25/0 15,532 - 911 14,620

RBV The Christie Hospital NHS Foundation Trust Capital 52,500 24/0 - 31,589 - 31,589

RAS The Hillingdon Hospital NHS Foundation Trust Capital 4,000 24/9 2,800 - 160 2,640

RAS The Hillingdon Hospital NHS Foundation Trust Capital 4,600 20/0 3,105 - 230 2,875

RAS The Hillingdon Hospital NHS Foundation Trust Revenue 6,000 5/0 6,000 - - 6,000

RAS The Hillingdon Hospital NHS Foundation Trust Revenue 10,000 10/0 8,000 - 1,000 7,000

RTD The Newcastle Upon Tyne Hospitals NHS Foundation Trust Capital 28,000 10/0 8,750 - 3,500 5,250

RCX The Queen Elizabeth Hospital, Kings Lynn NHS Foundation Trust Capital 3,000 10/0 1,050 - 300 750

RCX The Queen Elizabeth Hospital, Kings Lynn NHS Foundation Trust Capital 4,000 10/0 1,896 - 421 1,475

RFR The Rotherham NHS Foundation Trust Capital 5,000 10/0 1,563 - 625 938

RFR The Rotherham NHS Foundation Trust Capital 15,000 10/0 3,750 - 1,500 2,250

RFR The Rotherham NHS Foundation Trust Capital 10,000 20/0 6,000 - 500 5,500

RFR The Rotherham NHS Foundation Trust Capital 15,000 20/0 14,250 - 750 13,500

RFR The Rotherham NHS Foundation Trust Revenue 10,000 5/0 10,000 - - 10,000

RDZ The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust Capital 20,400 20/0 18,748 - 1,102 17,646


19


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

RPY The Royal Marsden NHS Foundation Trust Capital 15,000 10/0 - 500 - 500

RPY The Royal Marsden NHS Foundation Trust Capital 21,000 10/0 16,109 - 2,477 13,632

RAN The Royal National Orthopaedic Hospital NHS Trust Capital 1,100 5/0 660 - 220 440

RAN The Royal National Orthopaedic Hospital NHS Trust Capital 2,200 8/0 958 - 276 682

RAN The Royal National Orthopaedic Hospital NHS Trust Capital 1,700 25/0 1,564 - 68 1,496

RAN The Royal National Orthopaedic Hospital NHS Trust Revenue 3,000 5/0 600 - 600 -

RET The Walton Centre NHS Foundation Trust Capital 5,800 25/0 4,853 - 237 4,617

RET The Walton Centre NHS Foundation Trust Capital 6,100 25/0 6,100 - - 6,100

RET The Walton Centre NHS Foundation Trust Capital 21,500 25/0 19,264 - 894 18,370

RKE The Whittington Health NHS Trust Capital 496 10/3 184 - 48 136

RKE The Whittington Health NHS Trust Capital 2,900 25/0 2,436 - 116 2,320

RA9 Torbay and South Devon NHS Foundation Trust Capital 1,900 10/0 1,714 - 214 1,499

RA9 Torbay and South Devon NHS Foundation Trust Capital 4,118 10/0 1,915 673 272 2,317





RA9 Torbay and South Devon NHS Foundation Trust Capital 16,000 16/0 10,385 - 1,887 8,498


RA9 Torbay and South Devon NHS Foundation Trust Revenue 21,000 10/0 17,850 - 2,100 15,750

RRV University College London Hospitals NHS Foundation Trust Capital 19,600 25/0 12,600 4,750 - 17,350

RRV University College London Hospitals NHS Foundation Trust Capital 24,800 19/0 - 24,800 1,304 23,496

RRV University College London Hospitals NHS Foundation Trust Capital 65,000 25/0 27,881 - 25,156 2,725

RRV University College London Hospitals NHS Foundation Trust Capital 139,000 8/0 62,900 52,118 - 115,018

RHM University Hospital Southampton NHS Foundation Trust Capital 10,500 10/4 1,033 - 1,033 -

RHM University Hospital Southampton NHS Foundation Trust Capital 8,000 9/6 1,200 - 800 400

RHM University Hospital Southampton NHS Foundation Trust Capital 5,000 10/0 2,776 - 556 2,220


20


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

RHM University Hospital Southampton NHS Foundation Trust Capital 10,000 10/0 4,500 - 1,000 3,500



RA7 University Hospitals Bristol NHS Foundation Trust Capital 4,950 20/0 3,909 - 260 3,648

RA7 University Hospitals Bristol NHS Foundation Trust Capital 20,000 15/0 16,670 - 1,332 15,338

RA7 University Hospitals Bristol NHS Foundation Trust Capital 70,000 20/0 61,516 - 4,242 57,274

RKB University Hospitals Coventry and Warwickshire NHS Trust Capital 15,000 9/9 3,750 - 1,500 2,250

RKB University Hospitals Coventry and Warwickshire NHS Trust Capital 8,900 10/0 7,120 - 890 6,230

RWG West Hertfordshire Hospitals NHS Trust Capital 27,000 9/8 2,763 - 2,763 -

RKL West London Mental Health NHS Trust Capital 22,105 25/0 20,969 - 911 20,058

RKL West London Mental Health NHS Trust Capital 68,000 28/0 68,000 - 2,666 65,334

RGR West Suffolk NHS Foundation Trust Capital 6,400 25/0 6,054 - 281 5,773

RGR West Suffolk NHS Foundation Trust Capital 10,200 25/0 10,200 - 226 9,974

RGR West Suffolk NHS Foundation Trust Capital 36,250 25/0 21,100 10,000 - 31,100

RGR West Suffolk NHS Foundation Trust Revenue 7,456 5/0 7,456 - - 7,456

RYR Western Sussex Hospitals NHS Foundation Trust Capital 2,700 7/0 770 - 386 384

RYR Western Sussex Hospitals NHS Foundation Trust Capital 2,050 24/9 1,517 - 82 1,435





RYR Western Sussex Hospitals NHS Foundation Trust Capital 10,000 10/0 6,500 - 1,000 5,500

RBL Wirral University Teaching Hospital NHS Foundation Trust Capital 6,500 25/0 4,644 - 265 4,378

RBL Wirral University Teaching Hospital NHS Foundation Trust Capital 7,500 10/0 5,625 - 750 4,875

RWP Worcestershire Acute Hospitals NHS Trust Capital 2,000 9/8 1,000 - 200 800

RWP Worcestershire Acute Hospitals NHS Trust Capital 5,772 10/0 3,749 - 578 3,171



21


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017

(£000)


(£000)


Closing Balance

@ 31/03/2018

(£000)

RWP Worcestershire Acute Hospitals NHS Trust Revenue 12,000 8/9 5,997 - 1,334 4,663

R1A Worcestershire Health and Care NHS Trust Capital 3,000 5/0 300 - 300 -

R1A Worcestershire Health and Care NHS Trust Capital 1,937 24/9 1,352 - 78 1,274

R1A Worcestershire Health and Care NHS Trust Capital 2,132 24/9 1,573 - 86 1,487

RRF Wrightington, Wigan and Leigh NHS Foundation Trust Capital 13,500 7/0 12,000 - 3,000 9,000

RRF Wrightington, Wigan and Leigh NHS Foundation Trust Capital 16,500 25/0 16,116 - 769 15,347

RLQ Wye Valley NHS Trust Capital 800 10/0 160 - 80 80

RLQ Wye Valley NHS Trust Capital 3,900 10/0 1,365 - 390 975

RCB York Teaching Hospitals NHS Foundation Trust Capital 15,200 25/0 - 600 - 600

RCB York Teaching Hospitals NHS Foundation Trust Capital 12,200 25/0 - 1,500 - 1,500

RCB York Teaching Hospitals NHS Foundation Trust Capital 3,800 10/0 2,532 - 423 2,110




RCB York Teaching Hospitals NHS Foundation Trust Capital 7,550 10/0 2,928 4,450 345 7,033

RX8 Yorkshire Ambulance Service NHS Trust Capital 2,200 5/0 1,467 - 1,467 -

RX8 Yorkshire Ambulance Service NHS Trust Capital 6,672 20/0 5,169 - 334 4,835

GRAND TOTAL 4,609,589 3,052,712 250,439 294,878 3,008,277


22

23

Strategic Investments (Capital PDC) 3.7 The department may agree to provide finance for strategic investments that deliver benefits for the public but which would not qualify for, or could not be made on equivalent terms to, a loan issued in the normal course of business. 3.8 Strategic investments are only made when they deliver overall benefits based on value for money and a cost benefit analysis. Key assessment considerations may include whether social benefits exceed social costs, whether or not there are better ways in which to achieve the stated objectives, and the opportunity costs of the resources involved. 3.9 Finance for these investments is provided in the form of capital PDC or loans depending on the nature of the investment. This section sets out the range of strategic investments that

A&E (Capital PDC) 3.10 Recognising the particular pressures in A&E, as part of the Spring Budget 2017, the government provided additional capital funding to the NHS in England in 2017‑18 for capital investment in A&E departments. This enabled Trusts to invest in measures to help manage demand on A&E services and ensure that patients were able to access the most appropriate care as quickly as possible. For example, the funding allowed for better assessment of patients when they arrive at A&E and increased the provision of on-site Primary Care facilities. 3.11 PDC payments made in 2017-18 were as follows:

Org Code Trust Name Drawn in Year 2017-18 (£000)

REM Aintree University Hospital NHS Foundation Trust 1,000

RBS Alder Hey Childrens NHS Foundation Trust 624

RTK Ashford and St Peter's Hospitals NHS Foundation Trust 600

RF4 Barking, Havering and Redbridge University Hospitals NHS Trust 2,184

RFF Barnsley Hospital NHS Foundation Trust 338

R1H Barts Health NHS Trust 1,776

RDD Basildon and Thurrock University Hospitals NHS Foundation Trust 645

RC1 Bedford Hospitals NHS Trust 850

RXL Blackpool Teaching Hospitals NHS Foundation Trust 1,000

RMC Bolton NHS Foundation Trust 600

RAE Bradford Teaching Hospitals NHS Foundation Trust 159

RXH Brighton and Sussex University Hospitals NHS Trust 960

RXQ Buckinghamshire Healthcare NHS Trust 1,118

RJF Burton Hospitals NHS Foundation Trust 785

RGT Cambridge University Hospitals NHS Foundation Trust 999

RQM Chelsea & Westminster Hospital NHS Foundation Trust 882

RFS Chesterfield Royal Hospital NHS Foundation Trust 750

RLN City Hospitals Sunderland NHS Foundation Trust 875

RDE Colchester Hospital University NHS Foundation Trust 1,064

RJR Countess Of Chester Hospital NHS Foundation Trust 200

RXP County Durham and Darlington NHS Foundation Trust 1,807

RN7 Dartford and Gravesham NHS Trust 945

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust 1,361

RWH East and North Hertfordshire NHS Trust 597


24


RJN East Cheshire NHS Trust 879

RVV East Kent Hospitals University NHS Foundation Trust 1,428

RXR East Lancashire Hospitals NHS Trust 1,048

RXC East Sussex Healthcare NHS Trust 2,475

RVR Epsom and St Helier University Hospitals NHS Trust 1,750

RDU Frimley Health NHS Foundation Trust 42

RR7 Gateshead Health NHS Foundation Trust 380

RLT George Eliot Hospital NHS Trust 1,000

RTE Gloucestershire Hospitals NHS Foundation Trust 1,017

RN5 Hampshire Hospitals NHS Foundation Trust 1,024

RCD Harrogate and District NHS Foundation Trust 340

RR1 Heart of England NHS Foundation Trust 488

RQX Homerton University Hospital NHS Foundation Trust 962

RWA Hull and East Yorkshire Hospitals NHS Trust 981

RGQ Ipswich Hospital NHS Trust 522

R1F Isle of Wight NHS Trust 715

RGP James Paget University Hospitals NHS Foundation Trust 1,023

RNQ Kettering General Hospital NHS Foundation Trust 300

RAX Kingston Hospital NHS Foundation Trust 984

RXN Lancashire Teaching Hospitals NHS Foundation Trust 1,250

RR8 Leeds Teaching Hospitals NHS Trust 708

RJ2 Lewisham and Greenwich Healthcare NHS Trust 1,794

RRU London Ambulance Service NHS Trust 999

R1K London North West Healthcare NHS Trust 1,812

RWF Maidstone and Tunbridge Wells NHS Trust 645

RPA Medway NHS Foundation Trust 1,000

RBT Mid Cheshire Hospitals NHS Foundation Trust 750

RQ8 Mid Essex Hospital Services NHS Trust 1,047

RD8 Milton Keynes Hospital NHS Foundation Trust 1,045

RM1 Norfolk & Norwich University Hospital NHS Foundation Trust 999

RVJ North Bristol NHS Trust 96

RNL North Cumbria University Hospitals NHS Trust 1,000

RAP North Middlesex University Hospital NHS Trust 92

RVW North Tees and Hartlepool NHS Foundation Trust 1,000

RNS Northampton General Hospital NHS Trust 858

RBZ Northern Devon Healthcare NHS Trust 1,000

RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust 900

RTF Northumbria Healthcare NHS Foundation Trust 1,000

RX1 Nottingham University Hospitals NHS Trust 757

RTH Oxford University Hospitals NHS Foundation Trust 733

RW6 Pennine Acute Hospitals NHS Trust 598

RK9 Plymouth Hospitals NHS Trust 1,000

RD3 Poole Hospital NHS Foundation Trust 1,000

RHU Portsmouth Hospitals NHS Trust 117


25


RHW Royal Berkshire NHS Foundation Trust 1,068

REF Royal Cornwall Hospitals NHS Trust 1,000

RH8 Royal Devon and Exeter NHS Foundation Trust 430

RQ6 Royal Liverpool and Broadgreen Hospitals University NHS Trust 150

RA2 Royal Surrey County Hospital NHS Foundation Trust 1,000

RD1 Royal United Hospitals Bath NHS Foundation Trust 98

RM3 Salford Royal NHS Foundation Trust 500

RXW Shrewsbury & Telford Hospitals NHS Trust 1,600

RTR South Tees Hospitals NHS Foundation Trust 950

RE9 South Tyneside NHS Foundation Trust 875

RJC South Warwickshire NHS Foundation Trust 400

RAJ Southend University Hospital NHS Foundation Trust 1,000

RVY Southport and Ormskirk Hospital NHS Trust 850

RJ7 St George’s University Hospitals NHS Foundation Trust 980

RBN St Helens and Knowsley Teaching Hospitals NHS Trust 985

RWJ Stockport NHS Foundation Trust 1,000

RTP Surrey and Sussex Healthcare NHS Trust 925

RBA Taunton and Somerset NHS Foundation Trust 950

RNA The Dudley Group NHS Foundation Trust 1,000

RAS The Hillingdon Hospitals NHS Foundation Trust 1,500

RQW The Princess Alexandra Hospital NHS Trust 1,953

RCX The Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust 159

RDZ The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust 998

RL4 The Royal Wolverhampton NHS Trust 925

RKE The Whittington Health NHS Trust 1,000

RA9 Torbay and South Devon NHS Foundation Trust 897

RWD United Lincolnshire Hospitals NHS Trust 986

RRV University College London Hospitals NHS Foundation Trust 100

RRK University Hospital Birmingham NHS Foundation Trust 650

RHM University Hospital Southampton NHS Foundation Trust 1,000

RA7 University Hospitals Bristol NHS Foundation Trust 191

RJE University Hospitals of North Midlands NHS Trust 530

RWW Warrington and Halton Hospitals NHS Foundation Trust 1,100

RWG West Hertfordshire Hospitals NHS Trust 1,147

RGR West Suffolk NHS Foundation Trust 1,000

RYR Western Sussex Hospitals NHS Foundation Trust 1,424

RA3 Weston Area Health NHS Trust 843

RWP Worcestershire Acute Hospitals NHS Trust 1,720

RRF Wrightington, Wigan and Leigh NHS Foundation Trust 650

RLQ Wye Valley NHS Trust 749

RA4 Yeovil District Hospital NHS Foundation Trust 225

RCB York Teaching Hospital NHS Foundation Trust 830

GRAND TOTAL 98,015


26

Anti-Microbial Research Fund (Capital PDC) 3.12 In September 2016, an investment of £816,000k was announced for NIHR Biomedical Research Centres (NIHR BRCs) designation and funding over five years, from 1 April 2017. NIHR BRCs undertake early translational research to transform discoveries from basic/discovery science into benefits for patients, the NHS and broader economic growth. Out of 20 NIHR BRCs which were designated, four Centres (at Imperial, Cambridge, Oxford and Guy’s and St Thomas’) included infection/ Anti-Microbial resistance (AMR) relevant research themes. Between them, the four Centres cover a range of approaches to combat and reduce the impacts of antimicrobial resistance and promote good stewardship, including research on point-of-care screening, drug development, genomics of resistance mechanisms and Infection, Prevention and Control (IPC). 3.13 To augment the investment in NIHR BRCs with AMR research themes, additional capital funding was made available via a bidding process to enhance capital investment (infrastructure and equipment) in these establishments. 3.14 PDC payments made in 2017-18 were as follows:


RGT Cambridge University Hospitals NHS Foundation Trust 3,031

RJ1 Guy's and St Thomas' NHS Foundation Trust 500

RYJ Imperial College Healthcare NHS Trust 750

RTH Oxford University Hospitals NHS Foundation Trust 1,810

GRAND TOTAL 6,091

Cancer Transformation (Capital PDC) 3.15 The NHS Five Year Forward View identified cancer as one of the NHS’ top priorities, and the expansion of diagnostic capacity was identified as a ‘key improvement’ for cancer services in 2017/18 and 2018/19 in the ‘Next Steps on the NHS Five Year Forward View’ published in March 2017. 3.16 Following the publication of the NHS Five Year Forward View the Independent Cancer Taskforce published their five year strategy for cancer services in July 2015. The strategy set 96 recommendations in total for the health and care system over its five-year lifetime in order to deliver improved survival rates, earlier diagnosis, improved treatment, patient experience, and support and aftercare. 3.17 One of the key recommendations for delivery of the strategy was the establishment of ‘Cancer Alliances’ throughout the country to bring together local leaders from across health and care to collaboratively drive transformation for their populations. In October 2016, 16 Cancer Alliances were confirmed in addition to the 3 geographies (2 in London, 1 in Manchester) that had already begun testing a developed model for collaborative working as the National Cancer Vanguard. 3.18 Through Cancer Alliances as the local delivery infrastructure, transformation funding has been awarded to ensure high-quality modern services throughout the country by the end of the programme. Specifically, this investment in transformation is aimed at achieving improvements in earlier and faster diagnosis and improving the lives of those living with and beyond cancer.


27

3.19 PDC payments made in 2017-18 were as follows:


REM Aintree University Hospital NHS Foundation Trust 163



R1H Barts Health NHS Trust 100


REN Clatterbridge Cancer Centre NHS Foundation Trust 71

RJR Countess Of Chester Hospital NHS Foundation Trust 66

RXP County Durham and Darlington NHS Foundation Trust 239

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust 20


RVR Epsom and St Helier University Hospitals NHS Trust 200



RBQ Liverpool Heart & Chest NHS Foundation Trust 53

REP Liverpool Womens Hospital NHS Foundation Trust 31


RXF Mid Yorkshire Hospitals NHS Trust 200


RNL North Cumbria University Hospitals NHS Trust 156

RVW North Tees and Hartlepool NHS Foundation Trust 160

RBZ Northern Devon Healthcare NHS Trust 60

RTF Northumbria Healthcare NHS Foundation Trust 165

RTH Oxford University Hospitals NHS Foundation Trust 570

RK9 Plymouth Hospitals NHS Trust 64

REF Royal Cornwall Hospitals NHS Trust 63




RBN St Helens and Knowsley Teaching Hospitals NHS Trust 384


RTD The Newcastle Upon Tyne Hospitals NHS Foundation Trust 776

RET The Walton Centre NHS Foundation Trust 44

RA9 Torbay and South Devon NHS Foundation Trust 61

RHM University Hospital Southampton NHS Foundation Trust 30

RA7 University Hospitals Bristol NHS Foundation Trust 33

RWW Warrington and Halton Hospitals NHS Foundation Trust 100


RBL Wirral University Teaching Hospital NHS Foundation Trust 64

GRAND TOTAL 5,209


28

Cyber Security (Capital PDC) 3.20 Following WannaCry last year, the Digital Delivery Board (the governing board for the Personalised Health and Care 2020 programme which oversees better use of data and technology) reprioritised £21,000k capital for our major trauma centre hospitals and ambulance trusts. This funding is being used to upgrade firewalls and network infrastructure, and support the transition from outdated hardware and operating systems to improve resilience. These organisations were asked to undergo independent on-site assessments before applying for some of this funding which they could use to tackle high priority critical infrastructure vulnerabilities identified in their assessments. 3.21 Trusts have now been allocated their share of the £21,000k. This funding is helping to build resilience by: • Upgrading firewalls to secure networks; • Minimising risk to medical devices i.e. MRI scanners and blood test analysis devices; • Supporting use of software to fix security vulnerabilities or upgrades for software applications and technologies (also referred to as “patching”) by replacing obsolete PCs and introducing device security tools; and • Improving anti-virus protection. 3.22 A further £40,308k of capital funding was identified in 2017/18 to support organisations that self-assessed as being non-compliant against high severity CareCERT alerts, strengthening hardware and software across the system. Trusts were asked to submit bids and allocations were agreed via an Investment Committee and based upon agreed prioritisation criteria. 3.23 PDC payments made in 2017-18 were as follows:


REM Aintree University Hospital NHS Foundation Trust 1,038


RF4 Barking, Havering and Redbridge University Hospitals NHS Trust 83


RDD Basildon and Thurrock University Hospitals NHS Foundation Trust 218

RC1 Bedford Hospitals NHS Trust 120

RYW Birmingham Community Healthcare NHS Foundation Trust 661

RQ3 Birmingham Women's and Children's NHS Foundation Trust 712

RXH Brighton and Sussex University Hospitals NHS Trust 800

RXQ Buckinghamshire Healthcare NHS Trust 432


RDE Colchester Hospital University NHS Foundation Trust 166

RJ6 Croydon Health Services NHS Trust 122

RXM Derbyshire Healthcare NHS Foundation Trust 333

RBD Dorset County Hospital NHS Foundation Trust 210

RDY Dorset Health Care University NHS Foundation Trust 10

RWH East and North Hertfordshire NHS Trust 1,050



29



RWK East London NHS Foundation Trust 504

RX9 East Midlands Ambulance Service NHS Trust 257

RYC East of England Ambulance Service NHS Trust 40

RXC East Sussex Healthcare NHS Trust 98

RDU Frimley Health NHS Foundation Trust 707

RLT George Eliot Hospital NHS Trust 893


RP4 Great Ormond Street Hospital For Children NHS Foundation Trust 562

RN3 Great Western Hospitals NHS Foundation Trust 625

RJ1 Guy's and St Thomas' NHS Foundation Trust 2,161

RN5 Hampshire Hospitals NHS Foundation Trust 755


RWR Hertfordshire Partnership NHS Foundation Trust 400

RQX Homerton University Hospital NHS Foundation Trust 93

RWA Hull and East Yorkshire Hospitals NHS Trust 331

RYJ Imperial College Healthcare NHS Trust 1,599

RGQ Ipswich Hospital NHS Trust 166


RGP James Paget University Hospitals NHS Foundation Trust 350

RXY Kent and Medway NHS and Social Care Partnership NHS Trust 294

RJZ King's College Hospital NHS Foundation Trust 1,265


RXN Lancashire Teaching Hospitals NHS Foundation Trust 100

RR8 Leeds Teaching Hospitals NHS Trust 390

RT5 Leicestershire Partnership NHS Trust 108

RP7 Lincolnshire Partnership NHS Foundation Trust 265

RBQ Liverpool Heart & Chest NHS Foundation Trust 767

RRU London Ambulance Service NHS Trust 679

R1K London North West Healthcare NHS Trust 901

R0A Manchester University NHS Foundation Trust 200


RQ8 Mid Essex Hospital Services NHS Trust 284

RXF Mid Yorkshire Hospitals NHS Trust 220

RP6 Moorfields Eye Hospital NHS Foundation Trust 202

RM1 Norfolk & Norwich University Hospital NHS Foundation Trust 579

RMY Norfolk & Suffolk NHS Foundation Trust 494



RX6 North East Ambulance Service NHS Foundation Trust 85

RNS Northampton General Hospital NHS Trust 135

RBZ Northern Devon Healthcare NHS Trust 204




30


RPG Oxleas NHS Foundation Trust 303


RHU Portsmouth Hospitals NHS Trust 404

RT3 Royal Brompton & Harefield NHS Foundation Trust 37

RAL Royal Free London NHS Foundation Trust 700


RM3 Salford Royal NHS Foundation Trust 36

RNZ Salisbury NHS Foundation Trust 1,911

RXK Sandwell and West Birmingham Hospitals NHS Trust 126

RCU Sheffield Children's NHS Foundation Trust 2,182

RHQ Sheffield Teaching Hospitals NHS Foundation Trust 69

RXW Shrewsbury & Telford Hospitals NHS Trust 166

RYE South Central Ambulance Service NHS Foundation Trust 264

RYD South East Coast Ambulance Service NHS Foundation Trust 725

RV5 South London and Maudsley NHS Foundation Trust 350


RJC South Warwickshire NHS Foundation Trust 448

RAJ Southend University Hospital NHS Foundation Trust 360

RW1 Southern Health NHS Foundation Trust 601


RJ7 St George’s University Hospitals NHS Foundation Trust 2,217

RTP Surrey and Sussex Healthcare NHS Trust 120

RDR Sussex Community NHS Foundation Trust 120

RMP Tameside and Glossop Integrated Care NHS Foundation Trust 161

RBV The Christie Hospital NHS Foundation Trust 1,539

RNA The Dudley Group NHS Foundation Trust 298

RAS The Hillingdon Hospitals NHS Foundation Trust 447

RY5 The Lincolnshire Community Health Services NHS Trust 381

RQW The Princess Alexandra Hospital NHS Trust 156

RAN The Royal National Orthopaedic Hospital NHS Trust 307

RRJ The Royal Orthopaedic Hospital NHS Foundation Trust 280


RWD United Lincolnshire Hospitals NHS Trust 914

RRV University College London Hospitals NHS Foundation Trust 180

RRK University Hospital Birmingham NHS Foundation Trust 1,151

RHM University Hospital Southampton NHS Foundation Trust 725

RA7 University Hospitals Bristol NHS Foundation Trust 1,610

RKB University Hospitals Coventry and Warwickshire NHS Trust 1,191

RJE University Hospitals of North Midlands NHS Trust 547

RWG West Hertfordshire Hospitals NHS Trust 448

RYA West Midlands Ambulance Service NHS Foundation Trust 140

RGR West Suffolk NHS Foundation Trust 321

RWP Worcestershire Acute Hospitals NHS Trust 400

R1A Worcestershire Health and Care NHS Trust 456


31


RLQ Wye Valley NHS Trust 241

RX8 Yorkshire Ambulance Service NHS Trust 131

GRAND TOTAL 61,222

Estates and Technology Transformation Fund (Capital PDC) 3.24 NHS England’s Estates and Technology Transformation Fund (ETTF) invests (revenue and capital funding) in general practice facilities and technology across England (between 2015/16 and 2019/20). 3.25 It is part of the General Practice Forward View commitment for more modernised buildings and better use of technology to help improve general practices services for patients. 3.26 Where prioritised funding bids are for capital investment in primary care services in secondary care settings, funding is issued by the Department for Health as PDC to the secondary care asset owner. 3.27 PDC payments made in 2017-18 were as follows:


RYX Central London Community Healthcare NHS Trust 794

RJ6 Croydon Health Services NHS Trust 391

RNN Cumbria Partnership NHS Foundation Trust 844



GRAND TOTAL 4,113

Genomics (Capital PDC) 3.28 The Prime Minister announced on 10 December 2012 that the Government was to achieve a paradigm shift in the way that genomics is used in the NHS. To provide patients in the NHS with the benefits from the innovation associated with genomics the Government proposed that 100,000 whole genomes of patients in the NHS will be sequenced in the 5 years to 2017. 3.29 Successful delivery of the 100,000 Genome Project will position the NHS as a world leader in bringing about a new era of personalised medicine for the benefit of patients. The research opportunities and mainstream use of genomic medicine that will stem from this programme will also make a major contribution to wealth creation and economic growth in this country. The potential of genomics is significant, leading to more precise diagnostics for earlier diagnosis, new medical devices helping people lead independent lives, faster clinical trials, new drugs and treatments and potentially, in time, new cures. 3.30 Approval for an additional £10,000k of IT capital funding was gained in March 2017 for investment in FTs and NHS Trusts to develop the informatics capability within the NHS to deliver the 100,000 Genome Project. 3.31 PDC payments made in 2017-18 were as follows:


32



GRAND TOTAL 656

Provider Digitisation (Capital PDC) 3.32 The Provider Digitisation (PD) Programme comprises an ambitious range of projects to support NHS Providers to increase their digital maturity, e.g. by enhancing information flows both within health organisations and across boundaries, allowing vital timely and high quality data to follow patients through their care pathways. The key strategic drivers for the programme are the Five Year Forward View, The National Information Board’s Personalised Health & Care 2020 (PHC2020) Framework and the Wachter Report. The Wachter report “Making IT work: harnessing the power of health information technology to improve care in England” reviewed the state of digitisation across providers and focussed on driving forward at pace the digitisation of providers, initially focussing on those who already have the capacity and capability. National funding is being combined with local resources to support and catalyse implementation. 3.33 The Global Digital Exemplar (GDE) programme was launched following publication of the Wachter Review in August 2016. The GDE ambition is to create a cohort of digitally excellent UK healthcare providers that are comparable with the best in the world. Those organisations working to become GDEs have two tasks: The first is to improve their own digital maturity against defined measures and improving patient and healthcare outcomes. They must also commit to producing a blueprint to support a Fast Follower (FF) Trust of their choice to become more digitally mature and these blueprints can be used by other NHS providers to speed up the rate, and reduced the costs, of implementation and adoption of digital technology. 3.34 The GDE programme is one part of the PD investment within the PHC2020 portfolio and the plan is to distribute further funds more widely across NHS providers to support improvements in patient quality, efficiency and effectiveness. This covers specific initiatives such as whole system bed management/flow solutions, e-Prescribing, mobile working, integrated care record initiatives and proposals to improve clinical decision support in critical areas such as National Early Warning Scores, Sepsis or Acute Kidney Infection. For 2017/18, an early release totalling £10,000k has been made available to some NHS providers based on local and national priorities for these purposes. 3.35 PDC payments made in 2017-18 were as follows:


RBS Alder Hey Childrens NHS Foundation Trust 4,269

RWX Berkshire Healthcare NHS Foundation Trust 1,775

RXT Birmingham & Solihull Mental Health NHS Foundation Trust 1,250


RY2 Bridgewater Community Healthcare NHS Foundation Trust 580


RQM Chelsea & Westminster Hospital NHS Foundation Trust 660


33


RLN City Hospitals Sunderland NHS Foundation Trust 3,662

REN Clatterbridge Cancer Centre NHS Foundation Trust 999

RXV Greater Manchester Mental Health NHS Foundation Trust 378


REP Liverpool Women's Hospital NHS Foundation Trust 1,000

RC9 Luton and Dunstable Hospital NHS Foundation Trust 4,405

R0A Manchester University NHS Foundation Trust 1,236

RW4 Mersey Care NHS Foundation Trust 1,250

RD8 Milton Keynes Hospital NHS Foundation Trust 1,822


RX7 North West Ambulance Service NHS Trust 182

RX4 Northumberland, Tyne and Wear NHS Foundation Trust 525

RNU Oxford Health NHS Foundation Trust 1,120


RW6 Pennine Acute Hospitals NHS Trust 328

RT2 Pennine Care NHS Foundation Trust 1,662


RAL Royal Free London NHS Foundation Trust 4,879

RQ6 Royal Liverpool and Broadgreen Hospitals University NHS Trust 5,000

RM3 Salford Royal NHS Foundation Trust 3,665


RV5 South London and Maudsley NHS Foundation Trust 1,717

RBA Taunton and Somerset NHS Foundation Trust 3,100

RTD The Newcastle Upon Tyne Hospitals NHS Foundation Trust 1,600






RBL Wirral University Teaching Hospital NHS Foundation Trust 4,986

R1A Worcestershire Health and Care NHS Trust 1,250

RRF Wrightington, Wigan and Leigh NHS Foundation Trust 663

GRAND TOTAL 93,513

Liver Cirrhosis Fibroscan Fund Virus (HCV Programme) (Capital PDC) 3.36 In March 2016, a capital investment budget of £900k from NHS England was approved by the Investment Committee to provide capital funding for appropriate providers to purchase Fibroscan machines to diagnose liver fibrosis. This budget was transferred from NHS England to the Department to enable these payments to be made to NHS Providers in 2016-17. One investment was deferred into the financial year 2017-18.


34

3.37 The Fibroscan is a light-weight highly portable device capable of measuring liver fibrosis accurately using mobile handheld scanner technology. The investment enabled FibroScan services (22 units at £41k each) to be delivered through Operational Delivery Networks by nursing specialists in both the acute, home and community settings. 3.38 By making this capital funding available to providers, NHS England has ensured that the Fibroscans are available nationwide to diagnose liver fibrosis within Hepatitis C patients so that the current high cost drug treatment can be better targeted to those most in need, thus maximising the clinical impact of the spend on high cost drugs. 3.39 PDC payments made in 2017-18 were as follows:



GRAND TOTAL 41

New and Replacement Radiotherapy Machines (Linear Accelerators) (Capital PDC) 3.40 NHS England Funding was provided to support delivery of the recommendation of the independent Cancer Taskforce report, Achieving world-class cancer outcomes: a strategy for England (July 2015), that NHS England should commence a rolling programme of replacements for linear accelerators (LINACs) as they reach 10-year life, as well as technology upgrades to all LINACs in their 5th year. All LINACs that are already ten years old should be replaced. This budget was transferred from NHS England to the Department to enable these payments to be made to NHS Providers. 3.41 The Taskforce noted that as radiotherapy becomes more sophisticated, there is a need for greater support and investment in equipment, software and training. New technology platforms may require greater investment than a standard LINAC. However, this is offset by modern LINACs being markedly quicker and offering higher throughput. New treatment protocols also demonstrate that fewer doses (or “fractions”) can often be used, while achieving the same efficacy. 3.42 PDC payments made in 2017-18 were as follows:


RF4 Barking, Havering and Redbridge University Hospitals NHS Trust 1,690



RWA Hull and East Yorkshire Hospitals NHS Trust 1,707


RGQ Ipswich Hospital NHS Trust 1,705

RWF Maidstone and Tunbridge Wells NHS Trust 1,718

RM1 Norfolk & Norwich University Hospital NHS Foundation Trust 1,713

RX1 Nottingham University Hospitals NHS Trust 1,822





35


RA2 Royal Surrey County Hospital NHS Foundation Trust 3,404



RPY The Royal Marsden NHS Foundation Trust 3,535

RRV University College London Hospitals NHS Foundation Trust 3,402





GRAND TOTAL 45,761

Perinatal Mental Health Mother & Baby Units (Capital PDC) 3.43 NHS England has committed to fulfilling the ambition in the Five Year Forward View for Mental Health, so that by 2020/21 there will be increased access to specialist perinatal mental health support in all areas of England. Capital funding will deliver more personalised care to expectant and new mums with serious mental ill health in four locations. The funding will deliver new units which will provide in-patient support for women and their babies with the most complex and severe needs that require hospital care, who are experiencing severe mental health crisis including very serious conditions like post-partum psychosis. 3.44 PDC payments made in 2017-18 were as follows:


RWV Devon Partnership NHS Trust 1,550


RW5 Lancashire Care NHS Foundation Trust 2,470

RMY Norfolk & Suffolk NHS Foundation Trust 1,703

GRAND TOTAL 5,873

Places of Safety (Mental Health) (Capital PDC) 3.45 The Government's 2015 election Manifesto contained a commitment to improve provision of health based places of safety, for assessments of people detained by police officers under section 136 of the Mental Health Act 1983, to save “police time and stop vulnerable people being detained in police custody”. 3.46 In May 2015, the then Home Secretary announced that the Government will invest up to £15m to increase the provision and capacity of health based places of safety. This investment has been available over the 2016-17 and 2017-18 financial years, and bids have been invited and reviewed from local Crisis Care Concordat groups of health and police commissioners and providers. The Secretary of State for Health announced the successful bidding areas in September and October 2016. The majority of the investment will go to FTs and NHS Trusts to build and improve places of safety, many with a particular focus on services for children and young people.


36

3.47 PDC payments made in 2017-18 were as follows:


RTQ ²Gether NHS Foundation Trust 193

RXL Blackpool Teaching Hospitals NHS Foundation Trust 37

RV3 Central and North West London NHS Foundation Trust 700

RTG Derby Hospitals NHS Foundation Trust 650

RWV Devon Partnership NHS Trust 191

RDY Dorset Health Care University NHS Foundation Trust 450

RXR East Lancashire Hospitals NHS Trust 74

RYC East of England Ambulance Service NHS Trust 100


RWR Hertfordshire Partnership NHS Foundation Trust 540

RV9 Humber NHS Foundation Trust 167

RW5 Lancashire Care NHS Foundation Trust 151

RXN Lancashire Teaching Hospitals NHS Foundation Trust 74

RTV North West Boroughs Healthcare NHS Foundation Trust 50

RNU Oxford Health NHS Foundation Trust 125

RT2 Pennine Care NHS Foundation Trust 500



RXX Surrey and Borders Partnership NHS Foundation Trust 160

RTX University Hospitals of Morecambe Bay NHS Foundation Trust 37

GRAND TOTAL 4,420

Psychiatric Intensive Care Units (Capital PDC) 3.48 Psychiatric Intensive Care is required for patients requiring treatment for severe mental health disorder who cannot be safely managed on an open ward environment as a consequence of very high risk forms of behaviours such as violence, aggression, absconding and self-harm. 3.49 A shortage of psychiatric intensive care units (PICU) beds for children and young people in various regions of the country has resulted in routine long delays in finding a local bed and / or long journeys outside of the local region and outside of NHS care when requiring an intensive care facility. 3.50 Funding has been allocated to high priority areas of need, opening new PICU beds in 2017-18 and 2018-19 to enable better bed management in these areas, and subsequently reconfiguring beds in areas where these patients would previously have been sent. This is a multi-stage programme, which requires an initial capital outlay to open the PICU beds before the transformation of the service can occur, and the investment will be available over the 2016-17 to 2018-19 financial years. 3.51 PDC payments made in 2017-18 were as follows:



37


RVN Avon and Wiltshire Mental Health Partnership NHS Trust 500

RJ8 Cornwall Partnership NHS Foundation Trust 750

RWK East London NHS Foundation Trust 1,840


GRAND TOTAL 3,580

Proton Beam Therapy (Capital PDC) 3.51 Access to high quality modern radiotherapy techniques such as Proton Beam Therapy (PBT) will support improved outcomes for cancer patients, increase cure rates and improve the patient experience by minimising long-term side effects of treatment. High energy PBT is currently not available in this country and patients travel overseas for treatment. 3.52 As a result the department is investing £255,000k of public capital in building PBT facilities at The Christie NHS Foundation Trust in Manchester and University College London NHS Foundation Trust. These are large and complex facilities which will have the most up to date equipment available. The development of a national PBT service in this country will not only benefit patients but will also provide value for money for the taxpayer and offer the opportunity for the NHS to participate in global PBT research. 3.53 The programme is being nationally led to ensure that services are developed as part of an integrated hospital based model of multidisciplinary cancer treatment which is required for the safe and effective delivery of treatment. It will provide access for patients from all parts of the country. While facilities in England are being developed, all clinically appropriate patients will continue to be referred overseas for treatment. 3.54 PDC payments made in 2017-18 were as follows:




GRAND TOTAL 20,228

Large Schemes (Capital and Revenue PDC) 3.55 To ensure ongoing investment in essential developments the department provides funding for a number of large hospital building programmes. 3.56 PDC payments made in 2017-18 were as follows:


RXH Brighton and Sussex University Hospitals NHS Trust 41,436

RNL North Cumbria University Hospitals NHS Trust 2,276

RXK Sandwell and West Birmingham Hospitals NHS Trust 21,193

GRAND TOTAL 64,905


38

NHS WiFi Secondary Care Implementation & Fast Followers (Capital PDC) 3.57 The Secretary for Health has made a commitment to provide WiFi services in Secondary Care for staff and patients (within Acute, Mental Health and Community Trust settings) by end of 2018. 3.58 NHS Wi-Fi is being put in place in a small number of NHS trusts during 2017-18, with the ambition to roll this out to majority mental health, community and acute trusts across the country in 2018-19. NHS WiFi will provide a secure, stable, and reliable WiFi capability, consistent across all NHS settings. It will allow patients and the public to download health apps, browse the internet and access health and care information. 3.59 NHS secondary care trusts are responsible for choosing a supplier that can provide an NHS WiFi standard compliant system which suits their needs, and that will work with them to implement services across their local NHS sites. The chosen system must be based on a set of policies and guidance defined by NHS Digital. 3.60 PDC payments made in 2017-18 were as follows:



RXP County Durham and Darlington NHS Foundation Trust 350

RN7 Dartford and Gravesham NHS Trust 130


RGP James Paget University Hospitals NHS Foundation Trust 130



RX4 Northumberland, Tyne and Wear NHS Foundation Trust 350

TAH Sheffield Health & Social Care NHS Foundation Trust 210 RK5 Sherwood Forest Hospitals NHS Foundation Trust 210


RDR Sussex Community NHS Foundation Trust 210

RX2 Sussex Partnership NHS Foundation Trust 350

RQW The Princess Alexandra Hospital NHS Trust 130

RWW Warrington and Halton Hospitals NHS Foundation Trust 210

RWP Worcestershire Acute Hospitals NHS Trust 210

RTQ ²Gether NHS Foundation Trust 210

REM Aintree University Hospital NHS Foundation Trust 210

RVN Avon and Wiltshire Mental Health Partnership NHS Trust 350


RYW Birmingham Community Healthcare NHS Foundation Trust 210

RQ3 Birmingham Women's and Children's NHS Foundation Trust 210

RXL Blackpool Teaching Hospitals NHS Foundation Trust 210

RY2 Bridgewater Community Healthcare NHS Foundation Trust 130

RT1 Cambridgeshire and Peterborough NHS Foundation Trust 210


39


RLN City Hospitals Sunderland NHS Foundation Trust 210

RXC East Sussex Healthcare NHS Trust 210

RTE Gloucestershire Hospitals NHS Foundation Trust 210

RV9 Humber NHS Foundation Trust 210

RJ2 Lewisham and Greenwich Healthcare NHS Trust 210

RC9 Luton and Dunstable Hospital NHS Foundation Trust 130

RD8 Milton Keynes Hospital NHS Foundation Trust 130


RTF Northumbria Healthcare NHS Foundation Trust 350


RNU Oxford Health NHS Foundation Trust 350

RK9 Plymouth Hospitals NHS Trust 210

RXE Rotherham Doncaster and South Humber NHS Foundation Trust 210


RXK Sandwell and West Birmingham Hospitals NHS Trust 210

RCU Sheffield Children's NHS Foundation Trust 130

RE9 South Tyneside NHS Foundation Trust 130

RXG South West Yorkshire Partnership NHS Foundation Trust 350

RW1 Southern Health NHS Foundation Trust 350

RXX Surrey and Borders Partnership NHS Foundation Trust 210



RYR Western Sussex Hospitals NHS Foundation Trust 210

RY7 Wirral Community NHS Foundation Trust 116

GRAND TOTAL 11,016

Winter Pressures Capital Funding (Capital PDC) 3.61 Recognising the pressures, particularly over the winter period, in Urgent and Emergency Care settings, NHS England allocated capital investment to assist with digital technology provision in urgent care settings. Where this funding created assets in NHS provider trusts the Department of Health issued Public Dividend Capital to the trust in order to make the investment. 3.62 PDC payments made in 2017-18 were as follows:



RK5 Sherwood Forest Hospitals NHS Foundation Trust 66

RYE South Central Ambulance Service NHS Foundation Trust 61

GRAND TOTAL 147


40

Other Strategic Investments (Capital and Revenue PDC) 3.63 The department has also funded a range of other local investments, including the first two payments relating to Wave 1 Sustainability and Transformation Partnership (STP) capital schemes, and where the overall interests of the health service have been determined as overriding. In all instances the case for investment has been assured by NHS Improvement. The Derbyshire Community Health Services NHS Foundation and Trust Norfolk & Suffolk NHS Foundation Trust payments below relate to STP. The Royal Papworth Hospital NHS Foundation Trust payment reflects a restructuring of the department’s existing capital contribution for their PFI scheme 3.64 PDC payments made in 2017-18 were as follows:


RY8 Derbyshire Community Health Services NHS Foundation Trust 670





RGM Royal Papworth Hospital NHS Foundation Trust 45,500

RKB University Hospitals Coventry and Warwickshire NHS Trust 923

GRAND TOTAL 61,633

41

4. Interim Support 4.1 The department may provide assistance, Interim Support, to an FT or NHS Trust which is in financial difficulty and when it is deemed necessary to support the continued delivery of services for a period of time. 4.2 During this period the FT or NHS Trust will be expected to carry out a detailed assessment of the underlying issues and to ensure the long term viability through the development of a recovery plan. NHS Improvement is expected to manage the development of the recovery plan and to ensure that it is both timely and credible. 4.3 The department and NHS Improvement will closely monitor progress against the plan and will take action if there are significant variations from the plan. Continuous failure to deliver against key milestones can, ultimately, lead to the appointment of a Trust Special Administrator (TSA). 4.4 To incentivise financial recovery interest bearing loans are now the default form of Interim Support and any issue of loans is contingent on the FT or NHS Trust agreeing to deliver efficiencies in areas including agency staffing, procurement and estates and facilities.

Interim Revenue Support (Loans) 4.5 Interim Revenue Support loans have been developed to allow FTs and NHS Trusts to meet their short term working capital requirements in advance of the development of a recovery plan. The loans take the following forms:

• revolving maturity loan designed to cover short-term and fluctuating cash requirements, and

• rolling maturity loan designed for revenue based financing requirements.

42

Loans issued to FTs and NHS Trusts (Interim Revenue Support)


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)

Repaid in Year 2017-18

(£000)

Closing Balance

@ 31/03/2018 (£000)

RBS Alder Hey Childrens NHS Foundation Trust Revenue 8,000 3/0 8,000 - - 8,000

RVN Avon and Wiltshire Mental Health Partnership NHS Trust Revenue 1,500 3/0 - 1,500 - 1,500



RVN Avon and Wiltshire Mental Health Partnership NHS Trust Revenue 12,248 5/0 5,899 6,349 - 12,248

RF4 Barking, Havering and Redbridge Hospitals University NHS Trust Revenue 3,555 3/0 - 3,555 - 3,555

RF4 Barking, Havering and Redbridge Hospitals University NHS Trust Revenue 29,596 3/0 28,096 - - 28,096




RF4 Barking, Havering and Redbridge Hospitals University NHS Trust Revenue 35,951 3/0 35,951 - - 35,951


RF4 Barking, Havering and Redbridge Hospitals University NHS Trust Revenue 461 3/0 - 461 - 461

RRP Barnet, Enfield and Haringey Mental Health NHS Trust Revenue 1,000 3/0 - 1,000 - 1,000

RRP Barnet, Enfield and Haringey Mental Health NHS Trust Revenue 6,500 3/0 6,500 - - 6,500

RRP Barnet, Enfield and Haringey Mental Health NHS Trust Revenue 2,250 3/0 - 2,250 - 2,250

RRP Barnet, Enfield and Haringey Mental Health NHS Trust Revenue 3,500 3/0 3,500 - - 3,500

RFF Barnsley Hospital NHS Foundation Trust Revenue 1,200 3/0 - 1,200 - 1,200


RFF Barnsley Hospital NHS Foundation Trust Revenue 686 3/0 - 686 - 686

RFF Barnsley Hospital NHS Foundation Trust Revenue 17,167 3/0 17,167 - - 17,167


Interim Support

43


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)





RFF Barnsley Hospital NHS Foundation Trust Revenue 658 3/0 - 658 - 658



R1H Barts Health NHS Trust Revenue 3,500 3/0 3,500 - - 3,500

R1H Barts Health NHS Trust Revenue 12,000 3/0 - 12,000 - 12,000











R1H Barts Health NHS Trust Revenue 104,900 5/0 104,900 19,900 21,900 102,900

RDD Basildon and Thurrock University Hospitals NHS Foundation Trust Revenue 36,700 2/0 36,700 - - 36,700

RDD Basildon and Thurrock University Hospitals NHS Foundation Trust Revenue 18,284 3/0 18,284 - - 18,284

RDD Basildon and Thurrock University Hospitals NHS Foundation Trust Revenue 18,076 3/0 - 18,076 - 18,076

RDD Basildon and Thurrock University Hospitals NHS Foundation Trust Revenue 7,672 3/0 - 7,672 - 7,672

RC1 Bedford Hospitals NHS Trust Revenue 1,383 3/0 1,383 - - 1,383


RC1 Bedford Hospitals NHS Trust Revenue 932 3/0 - 932 - 932


44


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)



RC1 Bedford Hospitals NHS Trust Revenue 16,200 3/0 16,200 - 449 15,751


RC1 Bedford Hospitals NHS Trust Revenue 2,650 3/0 - 2,650 - 2,650


RC1 Bedford Hospitals NHS Trust Revenue 2,456 3/0 - 600 - 600

RC1 Bedford Hospitals NHS Trust Revenue 1,753 3/0 753 1,000 - 1,753


RC1 Bedford Hospitals NHS Trust Revenue 886 3/0 - 886 - 886

RY2 Bridgewater Community Healthcare NHS Foundation Trust Revenue 4,740 3/0 - 4,740 - 4,740

RY2 Bridgewater Community Healthcare NHS Foundation Trust Revenue 3,873 3/0 - 3,873 - 3,873

RXH Brighton and Sussex University Hospitals NHS Trust Revenue 5,717 3/0 5,717 - - 5,717



RXH Brighton and Sussex University Hospitals NHS Trust Revenue 4,791 3/0 - 4,791 - 4,791












Interim Support

45


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)






RXQ Buckinghamshire Healthcare NHS Trust Revenue 4,100 3/0 - 4,100 - 4,100

RXQ Buckinghamshire Healthcare NHS Trust Revenue 4,000 3/0 - 4,000 - 4,000

RXQ Buckinghamshire Healthcare NHS Trust Revenue 37,600 5/0 34,906 2,100 4,156 32,850

RJF Burton Hospitals NHS Foundation Trust Revenue 1,030 3/0 - 1,030 - 1,030

RJF Burton Hospitals NHS Foundation Trust Revenue 361 3/0 - 361 - 361




RJF Burton Hospitals NHS Foundation Trust Revenue 25,400 3/0 25,400 - 1,390 24,010


RJF Burton Hospitals NHS Foundation Trust Revenue 7,896 3/0 7,896 - - 7,896




RJF Burton Hospitals NHS Foundation Trust Revenue 4,968 3/0 4,968 - - 4,968

RWY Calderdale and Huddersfield NHS Foundation Trust Revenue 2,584 3/0 - 2,584 - 2,584

RWY Calderdale and Huddersfield NHS Foundation Trust Revenue 12,900 3/0 12,900 - - 12,900


RWY Calderdale and Huddersfield NHS Foundation Trust Revenue 4,316 3/0 - 4,316 1,117 3,199


RWY Calderdale and Huddersfield NHS Foundation Trust Revenue 384 3/0 - 384 - 384

RWY Calderdale and Huddersfield NHS Foundation Trust Revenue 683 3/0 - 683 - 683


46


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)



RWY Calderdale and Huddersfield NHS Foundation Trust Revenue 26,898 3/0 26,898 - - 26,898



RGT Cambridge University Hospitals NHS Foundation Trust Revenue 4,168 3/0 4,168 - - 4,168

RGT Cambridge University Hospitals NHS Foundation Trust Revenue 7,143 3/0 - 7,143 - 7,143




RGT Cambridge University Hospitals NHS Foundation Trust Revenue 21,029 3/0 21,029 - 3,283 17,746










RDE Colchester University Hospital NHS Foundation Trust Revenue 4,282 3/0 4,282 - 4,282 -

RDE Colchester University Hospital NHS Foundation Trust Revenue 18,700 5/0 18,700 - - 18,700

RDE Colchester University Hospital NHS Foundation Trust Revenue 1,951 3/0 - 1,951 - 1,951


RDE Colchester University Hospital NHS Foundation Trust Revenue 1,078 3/0 1,078 - 1,078 -



Interim Support

47


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)



RDE Colchester University Hospital NHS Foundation Trust Revenue 4,074 3/0 4,074 - 3,662 412




RJR Countess Of Chester Hospital NHS Foundation Trust Revenue 3,720 3/0 - 3,720 - 3,720



RJ6 Croydon Health Services NHS Trust Revenue 2,100 3/0 2,100 - - 2,100

RJ6 Croydon Health Services NHS Trust Revenue 221 3/0 - 221 - 221



RJ6 Croydon Health Services NHS Trust Revenue 1,000 3/0 - 1,000 - 1,000




RJ6 Croydon Health Services NHS Trust Revenue 4,961 3/0 4,961 - 2,033 2,928







RNN Cumbria Partnership NHS Foundation Trust Revenue 1,309 3/0 1,309 - - 1,309

RNN Cumbria Partnership NHS Foundation Trust Revenue 448 3/0 - 448 - 448

RN7 Dartford and Gravesham NHS Trust Revenue 2,900 3/0 - 2,900 - 2,900


48


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RN7 Dartford and Gravesham NHS Trust Revenue 3,000 3/0 3,000 - - 3,000



RN7 Dartford and Gravesham NHS Trust Revenue 7,955 5/0 5,300 5,187 2,532 7,955

RTG Derby Teaching Hospitals NHS Foundation Trust Revenue 36,100 2/0 36,100 - - 36,100

RTG Derby Teaching Hospitals NHS Foundation Trust Revenue 3,803 3/0 - 3,803 - 3,803








RTG Derby Teaching Hospitals NHS Foundation Trust Revenue 35,723 5/0 33,760 1,963 - 35,723

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Revenue 3,350 3/0 - 3,350 - 3,350



RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Revenue 7,186 3/0 7,186 - - 7,186

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Revenue 3,500 3/0 3,500 - 2,950 550






RWH East and North Hertfordshire NHS Trust Revenue 3,784 3/0 - 3,784 - 3,784

RWH East and North Hertfordshire NHS Trust Revenue 16,532 3/0 16,532 - - 16,532


Interim Support

49


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RWH East and North Hertfordshire NHS Trust Revenue 783 3/0 - 783 - 783







RWH East and North Hertfordshire NHS Trust Revenue 847 3/0 - 847 - 847


RWH East and North Hertfordshire NHS Trust Revenue 41,241 5/0 41,240 - 1,533 39,707

RJN East Cheshire NHS Trust Revenue 5,344 3/0 5,344 - - 5,344


RJN East Cheshire NHS Trust Revenue 2,346 3/0 - 2,346 - 2,346

RJN East Cheshire NHS Trust Revenue 548 3/0 - 548 - 548








RVV East Kent Hospitals University NHS Foundation Trust Revenue 2,565 3/0 - 2,565 829 1,736

RVV East Kent Hospitals University NHS Foundation Trust Revenue 3,052 3/0 - 3,052 - 3,052




RVV East Kent Hospitals University NHS Foundation Trust Revenue 22,736 5/0 22,736 - - 22,736


50


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RX9 East Midlands Ambulance Service NHS Trust Revenue 11,184 3/0 11,184 - - 11,184

RXC East Sussex Healthcare NHS Trust Revenue 1,369 3/0 - 1,369 - 1,369









RXC East Sussex Healthcare NHS Trust Revenue 8,000 3/0 8,000 - - 8,000

RXC East Sussex Healthcare NHS Trust Revenue 1,619 3/0 1,619 - 525 1,094







RVR Epsom and St Helier University Hospitals NHS Trust Revenue 4,115 3/0 - 4,115 - 4,115

RVR Epsom and St Helier University Hospitals NHS Trust Revenue 2,321 3/0 2,321 - - 2,321





RVR Epsom and St Helier University Hospitals NHS Trust Revenue 4,885 3/0 4,885 - 2,556 2,329


RVR Epsom and St Helier University Hospitals NHS Trust Revenue 16,766 3/0 - 16,766 4,191 12,575

Interim Support

51


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)




RVR Epsom and St Helier University Hospitals NHS Trust Revenue 1,470 3/0 1,470 - 1,236 234


RLT George Eliot Hospital NHS Trust Revenue 1,000 3/0 1,000 - - 1,000

RLT George Eliot Hospital NHS Trust Revenue 2,100 3/0 - 2,100 - 2,100



RLT George Eliot Hospital NHS Trust Revenue 461 3/0 - 461 - 461

RLT George Eliot Hospital NHS Trust Revenue 883 3/0 883 - - 883












RTE Gloucestershire Hospitals NHS Foundation Trust Revenue 1,909 3/0 - 1,909 - 1,909


RTE Gloucestershire Hospitals NHS Foundation Trust Revenue 5,318 3/0 5,318 - - 5,318




52


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)






RN3 Great Western Hospitals NHS Foundation Trust Revenue 3,339 3/0 - 3,339 - 3,339

RN3 Great Western Hospitals NHS Foundation Trust Revenue 6,117 3/0 - 6,117 - 6,117

RN3 Great Western Hospitals NHS Foundation Trust Revenue 4,900 2/6 4,900 - - 4,900

RN3 Great Western Hospitals NHS Foundation Trust Revenue 8,500 5/0 6,450 2,597 2,428 6,619

RXV Greater Manchester West Mental Health NHS Foundation Trust Revenue 5,438 3/0 5,438 - - 5,438

RR1 Heart of England NHS Foundation Trust Revenue 7,220 3/0 - 7,220 - 7,220




RWA Hull and East Yorkshire Hospitals NHS Trust Revenue 5,396 3/0 5,396 - - 5,396

RWA Hull and East Yorkshire Hospitals NHS Trust Revenue 4,000 3/0 - 4,000 - 4,000

RWA Hull and East Yorkshire Hospitals NHS Trust Revenue 15,677 3/0 13,677 - - 13,677



RYJ Imperial College Healthcare NHS Trust Revenue 25,767 5/0 15,805 - - 15,805

RGQ Ipswich Hospital NHS Trust Revenue 2,754 3/0 2,754 - - 2,754


RGQ Ipswich Hospital NHS Trust Revenue 1,342 3/0 - 1,342 - 1,342





Interim Support

53


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)






RGQ Ipswich Hospital NHS Trust Revenue 861 3/0 - 861 - 861




R1F Isle of Wight NHS Trust Revenue 1,262 3/0 - 1,262 - 1,262







R1F Isle of Wight NHS Trust Revenue 934 3/0 - 934 - 934





R1F Isle of Wight NHS Trust Revenue 14,030 5/0 14,030 - - 14,030

RXY Kent and Medway NHS and Social Care Partnership Trust Revenue 2,300 3/0 2,300 - - 2,300

RNQ Kettering General Hospital NHS Foundation Trust Revenue 1,734 3/0 - 1,734 - 1,734



RNQ Kettering General Hospital NHS Foundation Trust Revenue 5,544 3/0 5,544 - - 5,544


54


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)















RJZ King's College Hospital NHS Foundation Trust Revenue 14,569 3/0 - 14,569 - 14,569





RJZ King's College Hospital NHS Foundation Trust Revenue 14,445 3/0 14,445 - - 14,445








Interim Support

55


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RAX Kingston Hospital NHS Foundation Trust Revenue 1,915 3/0 - 1,915 - 1,915

RAX Kingston Hospital NHS Foundation Trust Revenue 8,910 3/0 - 8,910 2,079 6,831

RXN Lancashire Teaching Hospitals NHS Foundation Trust Revenue 7,000 3/0 - 7,000 - 7,000




RXN Lancashire Teaching Hospitals NHS Foundation Trust Revenue 20,500 2/0 20,500 - - 20,500



RXN Lancashire Teaching Hospitals NHS Foundation Trust Revenue 30,403 5/0 27,803 2,600 - 30,403

RR8 Leeds Teaching Hospitals NHS Trust Revenue 37,329 3/0 37,329 - - 37,329

RR8 Leeds Teaching Hospitals NHS Trust Revenue 28,000 5/0 15,070 7,500 15,103 7,467

RJ2 Lewisham and Greenwich Healthcare NHS Trust Revenue 5,224 3/0 - 5,224 - 5,224

RJ2 Lewisham and Greenwich Healthcare NHS Trust Revenue 45,200 3/0 39,376 - - 39,376

RJ2 Lewisham and Greenwich Healthcare NHS Trust Revenue 7,662 3/0 7,662 - 1,881 5,781







RJ2 Lewisham and Greenwich Healthcare NHS Trust Revenue 4,119 3/0 4,119 - 4,119 -


RJ2 Lewisham and Greenwich Healthcare NHS Trust Revenue 30,100 5/0 26,885 2,463 - 29,348

REP Liverpool Womens Hospital NHS Foundation Trust Revenue 5,600 2/0 5,600 - - 5,600

REP Liverpool Womens Hospital NHS Foundation Trust Revenue 3,342 3/0 3,342 - 2,362 980

REP Liverpool Womens Hospital NHS Foundation Trust Revenue 500 3/0 - 500 - 500


56


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

REP Liverpool Womens Hospital NHS Foundation Trust Revenue 1,520 3/0 - 1,520 - 1,520

REP Liverpool Womens Hospital NHS Foundation Trust Revenue 3,650 3/0 3,650 - - 3,650

R1K London North West Healthcare NHS Trust Revenue 5,540 3/0 - 5,540 - 5,540








R1K London North West Healthcare NHS Trust Revenue 3,338 3/0 3,338 - - 3,338



R1K London North West Healthcare NHS Trust Revenue 7,773 3/0 7,773 - 4,793 2,980




R1K London North West Healthcare NHS Trust Revenue 5,354 3/0 5,354 - 4,793 561

RWF Maidstone and Tunbridge Wells NHS Trust Revenue 16,908 3/0 16,908 - - 16,908

RWF Maidstone and Tunbridge Wells NHS Trust Revenue 1,677 3/0 - 1,677 - 1,677

RWF Maidstone and Tunbridge Wells NHS Trust Revenue 2,708 3/0 2,458 - 2,458 -



RWF Maidstone and Tunbridge Wells NHS Trust Revenue 558 3/0 - 558 - 558


RWF Maidstone and Tunbridge Wells NHS Trust Revenue 12,132 5/0 12,132 - - 12,132

RPA Medway NHS Foundation Trust Revenue 21,300 3/0 21,300 - - 21,300

Interim Support

57


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RPA Medway NHS Foundation Trust Revenue 5,128 3/0 - 5,128 - 5,128


RPA Medway NHS Foundation Trust Revenue 5,034 3/0 - 5,034 708 4,326










RPA Medway NHS Foundation Trust Revenue 10,341 3/0 10,341 - 5,200 5,141




RBT Mid Cheshire Hospitals NHS Foundation Trust Revenue 3,101 3/0 3,101 - 1,550 1,551

RBT Mid Cheshire Hospitals NHS Foundation Trust Revenue 4,997 3/0 4,997 - 1,551 3,446

RBT Mid Cheshire Hospitals NHS Foundation Trust Revenue 4,155 3/0 - 4,155 4,155 -

RBT Mid Cheshire Hospitals NHS Foundation Trust Revenue 2,291 3/0 - 2,291 2,291 -

RQ8 Mid Essex Hospital Services NHS Trust Revenue 1,070 3/0 - 1,070 - 1,070


RQ8 Mid Essex Hospital Services NHS Trust Revenue 2,942 3/0 2,942 - - 2,942






58


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)








RQ8 Mid Essex Hospital Services NHS Trust Revenue 843 3/0 - 843 - 843




RXF Mid Yorkshire Hospitals NHS Trust Revenue 2,814 3/0 - 2,814 - 2,814

RXF Mid Yorkshire Hospitals NHS Trust Revenue 700 3/0 - 700 - 700

RXF Mid Yorkshire Hospitals NHS Trust Revenue 3,583 3/0 - 3,583 - 3,583

RXF Mid Yorkshire Hospitals NHS Trust Revenue 18,650 3/0 18,650 - - 18,650

RXF Mid Yorkshire Hospitals NHS Trust Revenue 37,927 5/0 27,863 15,385 5,321 37,927

RD8 Milton Keynes General Hospital NHS Foundation Trust Revenue 25,300 5/0 25,300 - - 25,300





RD8 Milton Keynes General Hospital NHS Foundation Trust Revenue 1,095 3/0 - 1,095 - 1,095






Interim Support

59


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)




RM1 Norfolk & Norwich University Hospital NHS Foundation Trust Revenue 21,233 3/0 16,000 5,233 - 21,233

RM1 Norfolk & Norwich University Hospital NHS Foundation Trust Revenue 6,283 3/0 - 6,283 - 6,283






RVJ North Bristol NHS Trust Revenue 27,790 2/0 27,790 - - 27,790


RVJ North Bristol NHS Trust Revenue 2,539 3/0 - 2,539 - 2,539

RVJ North Bristol NHS Trust Revenue 253 3/0 - 253 - 253




RVJ North Bristol NHS Trust Revenue 929 3/0 - 929 - 929











60


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)






RNL North Cumbria University Acute Hospitals NHS Trust Revenue 5,125 3/0 - 5,125 - 5,125

RNL North Cumbria University Acute Hospitals NHS Trust Revenue 5,350 3/0 5,350 - - 5,350



















RAP North Middlesex University Hospital NHS Trust Revenue 6,950 3/0 - 6,950 - 6,950


Interim Support

61


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)





RAP North Middlesex University Hospital NHS Trust Revenue 20,652 5/0 20,652 - - 20,652

RGN North West Anglia NHS Foundation Trust Revenue 1,900 3/0 1,900 - - 1,900

RGN North West Anglia NHS Foundation Trust Revenue 5,472 3/0 - 5,472 - 5,472















RGN North West Anglia NHS Foundation Trust Revenue 13,300 3/0 13,300 - 2,700 10,600

RGN North West Anglia NHS Foundation Trust Revenue 925 3/0 925 - - 925






62


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)


RNS Northampton General Hospital NHS Trust Revenue 1,516 3/0 - 1,516 - 1,516


RNS Northampton General Hospital NHS Trust Revenue 2,469 3/0 2,469 - - 2,469





RNS Northampton General Hospital NHS Trust Revenue 404 3/0 - 404 - 404







RBZ Northern Devon Healthcare NHS Trust Revenue 2,350 3/0 - 2,350 2,350 -

RBZ Northern Devon Healthcare NHS Trust Revenue 1,233 3/0 1,233 - 1,233 -

RBZ Northern Devon Healthcare NHS Trust Revenue 5,284 3/0 5,284 - - 5,284

RBZ Northern Devon Healthcare NHS Trust Revenue 2,039 3/0 - 2,039 394 1,645

RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Revenue 3,265 3/0 - 3,265 - 3,265


RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Revenue 6,157 3/0 6,157 - - 6,157






Interim Support

63


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)







RX1 Nottingham University Hospitals NHS Trust Revenue 2,407 3/0 - 2,407 - 2,407


RX1 Nottingham University Hospitals NHS Trust Revenue 27,177 3/0 27,177 - - 27,177


RX1 Nottingham University Hospitals NHS Trust Revenue 163 3/0 - 163 - 163

RX1 Nottingham University Hospitals NHS Trust Revenue 5,436 3/0 5,436 - 5,294 142



RX1 Nottingham University Hospitals NHS Trust Revenue 21,602 3/0 20,989 - 3,246 17,743

RW6 Pennine Acute Hospitals NHS Trust Revenue 14,013 3/0 - 14,013 - 14,013



RK9 Plymouth Hospitals NHS Trust Revenue 3,294 3/0 - 3,294 - 3,294

RK9 Plymouth Hospitals NHS Trust Revenue 4,000 3/0 4,000 - - 4,000

RK9 Plymouth Hospitals NHS Trust Revenue 823 3/0 - 823 - 823

RK9 Plymouth Hospitals NHS Trust Revenue 3,000 3/0 3,000 - 2,570 430

RK9 Plymouth Hospitals NHS Trust Revenue 718 3/0 - 718 - 718




RK9 Plymouth Hospitals NHS Trust Revenue 413 3/0 413 - - 413


64


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RK9 Plymouth Hospitals NHS Trust Revenue 2,987 3/0 2,987 - 2,987 -





RHU Portsmouth Hospitals NHS Trust Revenue 8,800 3/0 - 8,800 - 8,800


RHU Portsmouth Hospitals NHS Trust Revenue 3,300 3/0 3,300 - - 3,300







REF Royal Cornwall Hospitals NHS Trust Revenue 1,790 3/0 - 1,790 - 1,790


REF Royal Cornwall Hospitals NHS Trust Revenue 10,709 3/0 10,709 - - 10,709

REF Royal Cornwall Hospitals NHS Trust Revenue 3,800 2/0 3,800 - - 3,800


RAL Royal Free London NHS Foundation Trust Revenue 10,000 3/0 - 10,000 - 10,000

RAL Royal Free London NHS Foundation Trust Revenue 20,000 3/0 - 20,000 - 20,000

RAL Royal Free London NHS Foundation Trust Revenue 59,356 5/0 46,356 13,000 - 59,356

RQ6 Royal Liverpool and Broadgreen Hospitals University NHS Trust Revenue 4,720 3/0 - 4,720 - 4,720





Interim Support

65


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)



RQ6 Royal Liverpool and Broadgreen Hospitals University NHS Trust Revenue 8,300 3/0 8,300 - 7,399 901

RQ6 Royal Liverpool and Broadgreen Hospitals University NHS Trust Revenue 7,071 3/0 7,071 - - 7,071



RA2 Royal Surrey County NHS Foundation Trust Revenue 9,300 3/0 9,300 - - 9,300

RNZ Salisbury NHS Foundation Trust Revenue 4,983 3/0 - 4,983 - 4,983


RNZ Salisbury NHS Foundation Trust Revenue 164 3/0 - 164 - 164






RK5 Sherwood Forest Hospitals NHS Foundation Trust Revenue 8,039 3/0 - 8,039 - 8,039





RK5 Sherwood Forest Hospitals NHS Foundation Trust Revenue 6,831 5/0 6,831 - - 6,831








66


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)



RK5 Sherwood Forest Hospitals NHS Foundation Trust Revenue 8,400 3/0 7,185 - 2,446 4,739







RXW Shrewsbury & Telford Hospitals NHS Trust Revenue 7,493 3/0 7,493 - 3,803 3,690

RXW Shrewsbury & Telford Hospitals NHS Trust Revenue 5,519 3/0 - 5,519 - 5,519

RXW Shrewsbury & Telford Hospitals NHS Trust Revenue 1,814 3/0 1,814 - - 1,814


RXW Shrewsbury & Telford Hospitals NHS Trust Revenue 15,200 3/0 15,200 - - 15,200

RXW Shrewsbury & Telford Hospitals NHS Trust Revenue 4,434 3/0 - 4,434 1,318 3,116



RYD South East Coast Ambulance Service NHS Foundation Trust Revenue 6,163 5/0 6,163 - 6,163 -

RTR South Tees Hospitals NHS Foundation Trust Revenue 7,200 5/0 7,200 - - 7,200

RTR South Tees Hospitals NHS Foundation Trust Revenue 4,020 3/0 - 4,020 - 4,020




RTR South Tees Hospitals NHS Foundation Trust Revenue 6,600 3/0 6,600 - - 6,600



RTR South Tees Hospitals NHS Foundation Trust Revenue 44,583 5/0 35,460 9,123 4,422 40,161

Interim Support

67


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RAJ Southend University Hospital NHS Foundation Trust Revenue 2,689 3/0 2,689 - 1,500 1,189

RAJ Southend University Hospital NHS Foundation Trust Revenue 3,195 3/0 - 3,195 - 3,195



RAJ Southend University Hospital NHS Foundation Trust Revenue 590 3/0 - 590 - 590


RAJ Southend University Hospital NHS Foundation Trust Revenue 7,000 3/0 7,000 - - 7,000







RVY Southport and Ormskirk Hospital NHS Trust Revenue 2,436 3/0 - 2,436 - 2,436


RVY Southport and Ormskirk Hospital NHS Trust Revenue 1,470 3/0 1,470 - - 1,470






RVY Southport and Ormskirk Hospital NHS Trust Revenue 995 3/0 995 - - 995







68


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)







RJ7 St George's University Hospitals NHS Foundation Trust Revenue 9,617 3/0 - 9,617 - 9,617


RJ7 St George's University Hospitals NHS Foundation Trust Revenue 15,073 3/0 15,073 - - 15,073









RBN St Helens and Knowsley Teaching Hospitals NHS Trust Revenue 2,525 3/0 2,525 - - 2,525

RBN St Helens and Knowsley Teaching Hospitals NHS Trust Revenue 2,525 3/0 2,525 - 2,525 -

RBN St Helens and Knowsley Teaching Hospitals NHS Trust Revenue 547 3/0 - 547 - 547

RBN St Helens and Knowsley Teaching Hospitals NHS Trust Revenue 4,558 3/0 - 4,558 - 4,558

RTP Surrey and Sussex Healthcare NHS Trust Revenue 19,926 5/0 16,030 3,100 6,630 12,500

RMP Tameside and Glossop Integrated Care NHS Foundation Trust Revenue 2,900 3/0 - 2,900 - 2,900


RMP Tameside and Glossop Integrated Care NHS Foundation Trust Revenue 20,300 2/6 20,300 - - 20,300



Interim Support

69


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)









RBA Taunton and Somerset NHS Foundation Trust Revenue 4,416 3/0 4,416 - - 4,416

RAS The Hillingdon Hospital NHS Foundation Trust Revenue 2,246 3/0 - 2,246 - 2,246


RAS The Hillingdon Hospital NHS Foundation Trust Revenue 4,185 3/0 - 4,185 1,060 3,125




RQW The Princess Alexandra Hospital NHS Trust Revenue 2,494 3/0 - 2,494 - 2,494



RQW The Princess Alexandra Hospital NHS Trust Revenue 26,737 3/0 26,737 - - 26,737










70


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)





RCX The Queen Elizabeth Hospital, Kings Lynn NHS Foundation Trust Revenue 16,800 5/0 16,800 - - 16,800

RCX The Queen Elizabeth Hospital, Kings Lynn NHS Foundation Trust Revenue 5,126 3/0 - 5,126 - 5,126











RFR The Rotherham NHS Foundation Trust Revenue 2,987 3/0 - 2,987 - 2,987






RFR The Rotherham NHS Foundation Trust Revenue 641 3/0 - 641 - 641





Interim Support

71


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RFR The Rotherham NHS Foundation Trust Revenue 2,781 3/0 2,781 - - 2,781


RAN The Royal National Orthopaedic Hospital NHS Trust Revenue 1,014 3/0 - 1,014 - 1,014




RAN The Royal National Orthopaedic Hospital NHS Trust Revenue 4,500 2/0 4,500 - - 4,500







RAN The Royal National Orthopaedic Hospital NHS Trust Revenue 11,294 5/0 10,305 909 - 11,214

RRJ The Royal Orthopaedic Hospital NHS Foundation Trust Revenue 930 3/0 - 930 - 930


RRJ The Royal Orthopaedic Hospital NHS Foundation Trust Revenue 1,747 3/0 - 1,747 - 1,747


R1C The Solent NHS Trust Revenue 3,460 3/0 3,460 - - 3,460

R1C The Solent NHS Trust Revenue 1,595 3/0 - 1,595 - 1,595

R1C The Solent NHS Trust Revenue 4,304 2/0 4,304 - - 4,304

R1E The Staffordshire and Stoke on Trent Partnership NHS Trust Revenue 5,700 3/0 - 5,700 - 5,700

R1E The Staffordshire and Stoke on Trent Partnership NHS Trust Revenue 7,600 3/0 - 7,600 - 7,600

R1E The Staffordshire and Stoke on Trent Partnership NHS Trust Revenue 26,800 5/0 26,800 - - 26,800

RKE The Whittington Health NHS Trust Revenue 18,326 3/0 18,326 - - 18,326




72


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RWD United Lincolnshire Hospitals NHS Trust Revenue 7,000 3/0 - 7,000 - 7,000

RWD United Lincolnshire Hospitals NHS Trust Revenue 35,618 3/0 35,618 - - 35,618


















RKB University Hospitals Coventry and Warwickshire NHS Trust Revenue 7,405 3/0 - 7,405 - 7,405

RKB University Hospitals Coventry and Warwickshire NHS Trust Revenue 3,082 3/0 3,082 - 3,082 -

RKB University Hospitals Coventry and Warwickshire NHS Trust Revenue 11,646 3/0 11,646 - - 11,646




RKB University Hospitals Coventry and Warwickshire NHS Trust Revenue 12,479 2/7 12,479 - 3,762 8,717

RWE University Hospitals Of Leicester NHS Trust Revenue 1,952 3/0 - 1,952 - 1,952

Interim Support

73


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RWE University Hospitals Of Leicester NHS Trust Revenue 34,100 3/0 34,100 - - 34,100






RWE University Hospitals Of Leicester NHS Trust Revenue 65,558 5/0 57,987 7,571 - 65,558

RTX University Hospitals of Morecambe Bay NHS Foundation Trust Revenue 4,841 3/0 - 4,841 - 4,841

RTX University Hospitals of Morecambe Bay NHS Foundation Trust Revenue 29,168 3/0 27,168 - 2,000 25,168


RTX University Hospitals of Morecambe Bay NHS Foundation Trust Revenue 39,100 5/0 39,100 - - 39,100

RTX University Hospitals of Morecambe Bay NHS Foundation Trust Revenue 5,424 3/0 5,424 - 5,424 -



RTX University Hospitals of Morecambe Bay NHS Foundation Trust Revenue 3,372 3/0 3,372 - 3,372 -









RJE University Hospitals of North Midlands NHS Trust Revenue 10,247 3/0 - 10,247 - 10,247

RJE University Hospitals of North Midlands NHS Trust Revenue 12,450 2/0 12,450 - - 12,450




74


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)









RJE University Hospitals of North Midlands NHS Trust Revenue 29,362 5/0 29,362 - - 29,362

RBK Walsall Healthcare NHS Trust Revenue 2,567 3/0 - 2,567 - 2,567




RBK Walsall Healthcare NHS Trust Revenue 807 3/0 - 807 - 807


RBK Walsall Healthcare NHS Trust Revenue 6,883 3/0 6,883 - - 6,883









RWW Warrington and Halton Hospitals NHS Foundation Trust Revenue 600 3/0 600 - - 600

RWW Warrington and Halton Hospitals NHS Foundation Trust Revenue 4,133 3/0 - 4,133 - 4,133


Interim Support

75


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)



RWW Warrington and Halton Hospitals NHS Foundation Trust Revenue 9,318 3/0 9,318 - 397 8,921

RWW Warrington and Halton Hospitals NHS Foundation Trust Revenue 360 3/0 - 360 - 360

RWW Warrington and Halton Hospitals NHS Foundation Trust Revenue 2,000 3/0 2,000 - 2,000 -

RWW Warrington and Halton Hospitals NHS Foundation Trust Revenue 14,200 2/5 14,200 - - 14,200


RWG West Hertfordshire Hospitals NHS Trust Revenue 2,561 3/0 2,561 - - 2,561


RWG West Hertfordshire Hospitals NHS Trust Revenue 209 3/0 - 209 - 209



RWG West Hertfordshire Hospitals NHS Trust Revenue 7,981 3/0 - 7,981 - 7,981













RGR West Suffolk NHS Foundation Trust Revenue 2,900 3/0 - 2,900 - 2,900



76


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)




RA3 Weston Area Health NHS Trust Revenue 1,125 3/0 - 1,125 - 1,125

RA3 Weston Area Health NHS Trust Revenue 580 3/0 - 580 - 580

RA3 Weston Area Health NHS Trust Revenue 7,700 2/0 7,700 - - 7,700








RA3 Weston Area Health NHS Trust Revenue 7,963 5/0 4,200 3,763 - 7,963

RBL Wirral University Teaching Hospital NHS Foundation Trust Revenue 2,100 3/0 - 2,100 - 2,100




RBL Wirral University Teaching Hospital NHS Foundation Trust Revenue 23,289 5/0 17,455 5,834 - 23,289

RWP Worcestershire Acute Hospitals NHS Trust Revenue 3,580 3/0 - 3,580 - 3,580

RWP Worcestershire Acute Hospitals NHS Trust Revenue 38,172 3/0 38,172 - - 38,172





RWP Worcestershire Acute Hospitals NHS Trust Revenue 648 3/0 648 - - 648


Interim Support

77


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)



RWP Worcestershire Acute Hospitals NHS Trust Revenue 483 3/0 483 - - 483










RLQ Wye Valley NHS Trust Revenue 2,107 3/0 - 2,107 - 2,107

RLQ Wye Valley NHS Trust Revenue 2,139 3/0 2,139 - - 2,139







RLQ Wye Valley NHS Trust Revenue 588 3/0 - 588 - 588








78


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)






RA4 Yeovil District Hospital NHS Foundation Trust Revenue 12,187 3/0 12,187 - - 12,187

RA4 Yeovil District Hospital NHS Foundation Trust Revenue 966 3/0 - 966 - 966

RA4 Yeovil District Hospital NHS Foundation Trust Revenue 2,065 3/0 - 2,065 - 2,065





RA4 Yeovil District Hospital NHS Foundation Trust Revenue 984 3/0 984 - - 984










RCB York Teaching Hospitals NHS Foundation Trust Revenue 2,500 3/0 - 2,500 - 2,500




GRAND TOTAL 7,573,327 4,723,027 2,829,252 198,571 7,353,708

Interim Support

79

80

Interim Revenue Support (PDC) 4.6 Interim revenue support loans have replaced any use of interim revenue support PDC in all but the most exceptional circumstances. Whilst it remains as a product available for use the Department did not issue any interim revenue support PDC payments in 2017-18.

Interim Capital Support (Loan) 4.7 The Department may also provide interim capital support to NHS Trusts or FTs in the form of interest bearing loans. The parameters of the loan facility are set by agreement and the debt is serviced based on prevailing National Loans Fund (NLF) rate on the date the loan agreement is made. 4.8 The following table sets out the interim capital support loans issued in 2017-18:

81


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

REM Aintree University Hospitals NHS Foundation Trust Capital 5,800 25/0 - 5,800 - 5,800

RF4 Barking, Havering and Redbridge Hospitals University NHS Trust Capital 3,362 10/0 3,362 - 374 2,988

RF4 Barking, Havering and Redbridge Hospitals University NHS Trust Capital 6,019 10/0 4,815 - 602 4,213

RFF Barnsley Hospital NHS Foundation Trust Capital 2,706 15/0 2,346 - 180 2,165

R1H Barts Health NHS Trust Capital 11,900 10/0 - 11,900 - 11,900

R1H Barts Health NHS Trust Capital 10,635 10/0 10,635 - 1,064 9,572

RDD Basildon and Thurrock University Hospitals NHS Foundation Trust Capital 8,961 25/0 - 1,467 - 1,467

RC1 Bedford Hospitals NHS Trust Capital 3,000 25/0 2,760 - 120 2,640

RXH Brighton and Sussex University Hospitals NHS Trust Capital 14,500 10/0 12,484 2,016 1,612 12,888

RXH Brighton and Sussex University Hospitals NHS Trust Capital 49,400 15/0 - 4,500 - 4,500

RXQ Buckinghamshire Healthcare NHS Trust Capital 9,000 10/0 5,777 - 723 5,054

RGT Cambridge University Hospitals NHS Foundation Trust Capital 15,100 7/0 12,100 3,000 2,156 12,944

RGT Cambridge University Hospitals NHS Foundation Trust Capital 10,500 10/0 - 10,500 - 10,500

RDE Colchester University Hospital NHS Foundation Trust Capital 3,800 22/0 1,661 - 79 1,582

RJ6 Croydon Health Services NHS Trust Capital 19,112 25/0 13,752 5,000 799 17,953

RN7 Dartford and Gravesham NHS Trust Capital 2,500 10/0 - 1,000 - 1,000

RN7 Dartford and Gravesham NHS Trust Capital 1,937 10/0 1,743 - 194 1,550

RTG Derby Teaching Hospitals NHS Foundation Trust Capital 3,700 8/0 - 3,700 106 3,594

RTG Derby Teaching Hospitals NHS Foundation Trust Capital 11,000 15/0 - 8,100 - 8,100

RWH East and North Hertfordshire NHS Trust Capital 6,815 10/0 4,231 2,584 688 6,127

RX9 East Midlands Ambulance Service NHS Trust Capital 9,000 7/0 7,300 1,700 - 9,000

RXC East Sussex Healthcare NHS Trust Capital 800 20/0 - 800 - 800

RXC East Sussex Healthcare NHS Trust Capital 869 10/0 695 - 87 608

RVR Epsom and St Helier University Hospitals NHS Trust Capital 25,100 20/0 - 5,200 3,300 1,900

RLT George Eliot Hospital NHS Trust Capital 11,606 10/0 10,574 - 1,244 9,330


82


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RLT George Eliot Hospital NHS Trust Capital 3,512 10/0 2,212 1,300 - 3,512

RLT George Eliot Hospital NHS Trust Capital 1,100 7/0 786 - 157 629

RTE Gloucestershire Hospitals NHS Foundation Trust Capital 5,000 15/0 - 5,000 - 5,000

RR1 Heart of England NHS Foundation Trust Capital 3,100 25/0 - 3,100 - 3,100

RWA Hull and East Yorkshire Hospitals NHS Trust Capital 7,066 15/0 4,066 3,000 401 6,665

RNQ Kettering General Hospital NHS Foundation Trust Capital 2,086 10/0 - 2,086 - 2,086

RNQ Kettering General Hospital NHS Foundation Trust Capital 14,800 25/0 11,944 2,622 606 13,959

RNQ Kettering General Hospital NHS Foundation Trust Capital 7,200 10/0 - 7,200 - 7,200

RJZ King's College Hospital NHS Foundation Trust Capital 32,900 10/0 - 32,900 - 32,900

RJZ King's College Hospital NHS Foundation Trust Capital 47,000 25/0 - 47,000 940 46,060

RAX Kingston Hospital NHS Foundation Trust Capital 8,300 25/0 - 6,800 - 6,800

RAX Kingston Hospital NHS Foundation Trust Capital 7,600 10/0 - 5,000 - 5,000

RXN Lancashire Teaching Hospitals NHS Foundation Trust Capital 21,800 25/0 - 1,700 - 1,700



RR8 Leeds Teaching Hospitals NHS Trust Capital 12,294 7/0 8,783 - 1,756 7,027

RR8 Leeds Teaching Hospitals NHS Trust Capital 11,637 20/0 1,120 2,000 - 3,120


REP Liverpool Womens Hospital NHS Foundation Trust Capital 15,000 25/0 - 1,000 - 1,000

R1K London North West Healthcare NHS Trust Capital 8,800 10/0 8,800 - 926 7,874

R1K London North West Healthcare NHS Trust Capital 5,716 10/0 3,466 2,250 459 5,257

RPA Medway NHS Foundation Trust Capital 9,100 25/0 - 5,790 - 5,790

RPA Medway NHS Foundation Trust Capital 17,800 25/0 - 1,800 - 1,800

RPA Medway NHS Foundation Trust Capital 3,700 20/0 - 3,700 184 3,516

RBT Mid Cheshire Hospitals NHS Foundation Trust Capital 4,300 25/0 - 2,700 - 2,700

RXF Mid Yorkshire Hospitals NHS Trust Capital 11,300 10/0 - 2,500 - 2,500

RD8 Milton Keynes General Hospital NHS Foundation Trust Capital 1,900 10/0 1,900 - 190 1,710

Interim Support

83


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RD8 Milton Keynes General Hospital NHS Foundation Trust Capital 5,260 17/0 5,101 - 319 4,782

RD8 Milton Keynes General Hospital NHS Foundation Trust Capital 9,800 10/0 - 4,800 - 4,800

RNL North Cumbria University Acute Hospitals NHS Trust Capital 4,999 10/0 4,736 - 526 4,210




RGN North West Anglia NHS Foundation Trust Capital 11,300 10/0 - 11,300 - 11,300

RNS Northampton General Hospital NHS Trust Capital 7,207 10/0 6,086 - 760 5,325

RNS Northampton General Hospital NHS Trust Capital 9,352 10/0 5,741 3,611 822 8,530

RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Capital 4,000 7/0 - 300 - 300

RHU Portsmouth Hospitals NHS Trust Capital 5,600 10/0 4,480 - 560 3,920

RQ6 Royal Liverpool and Broadgreen Hospitals University NHS Trust Capital 17,700 10/0 - 3,700 - 3,700

RK5 Sherwood Forest Hospitals NHS Foundation Trust Capital 5,600 15/0 5,227 - 373 4,854

RK5 Sherwood Forest Hospitals NHS Foundation Trust Capital 5,600 7/0 - 5,600 - 5,600

RK5 Sherwood Forest Hospitals NHS Foundation Trust Capital 5,332 10/0 5,332 - 533 4,799

RTR South Tees Hospitals NHS Foundation Trust Capital 11,900 10/0 - 11,900 - 11,900



RJ7 St George's University Hospitals NHS Foundation Trust Capital 10,000 10/0 - 10,000 - 10,000

RJ7 St George's University Hospitals NHS Foundation Trust Capital 16,200 10/0 - 16,200 1,620 14,580

RCX The Queen Elizabeth Hospital, Kings Lynn NHS Foundation Trust Capital 6,700 13/0 6,184 - 516 5,668

RCX The Queen Elizabeth Hospital, Kings Lynn NHS Foundation Trust Capital 1,000 15/0 867 - 67 800

RAN The Royal National Orthopaedic Hospital NHS Trust Capital 38,750 5/0 10,268 28,044 - 38,312

RWD United Lincolnshire Hospitals NHS Trust Capital 9,500 15/0 - 9,500 - 9,500

RKB University Hospitals Coventry and Warwickshire NHS Trust Capital 13,838 10/0 4,220 9,519 704 13,035

RWE University Hospitals Of Leicester NHS Trust Capital 12,000 22/0 10,910 - 545 10,366

RWE University Hospitals Of Leicester NHS Trust Capital 38,733 25/0 31,075 7,658 1,537 37,196


84


Loan Amount (£000)

Term (yy/m)

Opening Balance

@ 01/04/2017 (£000)

Drawn in Year 2017-18 (£000)


(£000)

Closing Balance

@ 31/03/2018 (£000)

RTX University Hospitals of Morecambe Bay NHS Foundation Trust Capital 13,600 23/0 5,100 8,500 266 13,334

RTX University Hospitals of Morecambe Bay NHS Foundation Trust Capital 10,100 25/0 - 2,700 - 2,700

RBK Walsall Healthcare NHS Trust Capital 6,487 25/0 - 4,825 77 4,748

RWW Warrington and Halton Hospitals NHS Foundation Trust Capital 1,600 15/0 1,493 - 107 1,387

RWG West Hertfordshire Hospitals NHS Trust Capital 13,700 10/0 - 1,400 - 1,400

RWG West Hertfordshire Hospitals NHS Trust Capital 7,500 10/0 7,500 - 750 6,750

RWG West Hertfordshire Hospitals NHS Trust Capital 11,100 12/0 10,090 - 1,010 9,080



RWP Worcestershire Acute Hospitals NHS Trust Capital 5,000 10/0 - 2,400 - 2,400

RWP Worcestershire Acute Hospitals NHS Trust Capital 3,800 10/0 3,169 - - 3,169

RLQ Wye Valley NHS Trust Capital 10,707 7/0 - 6,047 - 6,047

RLQ Wye Valley NHS Trust Capital 8,289 7/0 6,351 896 1,317 5,930

RLQ Wye Valley NHS Trust Capital 4,965 15/0 4,622 - 343 4,280

RA4 Yeovil District Hospital NHS Foundation Trust Capital 2,100 7/0 1,710 360 296 1,774

RA4 Yeovil District Hospital NHS Foundation Trust Capital 5,900 17/0 5,553 - 347 5,206

GRAND TOTAL 922,489 335,211 355,975 36,826 654,362

85

Interim Capital Support (PDC) 4.9 Capital PDC to support interim capital expenditure will only be considered in exceptional circumstances. It will not be made available for capital requirements that can be considered to be part of normal business requirements. The department do not apply a commitment fee or charge as, where PDC funds capital investment, the cost of financing is charged to the assets created by the investment through the PDC Dividend. 4.10 PDC payments made in 2017-18 were as follows:



RBK Walsall Healthcare NHS Trust 2,000



GRAND TOTAL 10,729


86

5. Planned Term Support 5.1 Longer term financial assistance will be considered where trusts had clear and robust Recovery Plans to return them to a sustainable position over a reasonable and realistic time frame. In such circumstances longer term financial assistance will be considered on a planned basis over an agreed term. 5.2 Planned Term Support is only considered where there is a credible recovery plan which demonstrates how an organisation will be viable and sustainable on an ongoing basis and/or where the investment is likely to be in the interests of the taxpayer. Recovery Plans are expected to carry substantial assurances from NHS Improvement that the trust can deliver the forecast improvements to its financial performance. 5.3 Planned Term Support may be provided to an NHS Trust or FT in the form of either a loan or PDC to deliver capital investment of restructuring. Loans are provided in line with normal course of business rules. For the purpose of this report these loans are recorded as part of normal course of business and would be shown in Chapter 3 of the report. There were no Planned Term Support loans issued in 2017-18.

The Acquisition of Manchester Mental Health & Social Care NHS Trust by Greater Manchester Mental Health NHS Foundation Trust 5.4 On 1 January 2017, Greater Manchester West Mental Health NHS FT acquired Manchester Mental Health and Social Care NHS Trust. The merged trust was renamed Greater Manchester Mental Health NHS FT. 5.5 Manchester Mental Health and Social Care NHS Trust declared that its financial position in its current form had become unsustainable prior to the acquisition. 5.6 A package of financial support was agreed between the Department, the acquiring trust and local commissioning bodies to ensure that the management of the acquiring FT has the necessary support to deliver a successful integration. 5.7 To facilitate these changes financial support was agreed and PDC payments made in 2017-18 were as follows:


RXV Greater Manchester Mental Health NHS Foundation Trust 2,979

GRAND TOTAL 2,979

Acquisition of Barnet and Chase Farm Hospitals NHS Trust by the Royal Free London NHS FT 5.8 On 1st July 2014 the Secretary of State dissolved the Barnet and Chase Farm Hospitals NHS Trust (BCF) and transferred its assets and services to Royal Free London NHS Foundation Trust (RFL).

Planned Term Support

87

5.9 The acquisition followed a competitive procurement process through which the RFL emerged as the preferred partner. This followed the conclusion by the BCF board and the London Strategic Health Authority (closed on 31st March 2013) that it was not able to put together a plan to provide sustainable health services as a standalone organisation. 5.10 As a result of longstanding issues at BCF, a package of financial support was agreed between the department, the acquiring trust and local commissioning bodies to ensure that the management of the acquiring FT had the necessary support to deliver a successful integration while ensuring a balance of risk which ensures that all parties remained focus on delivering the necessary improvements. 5.11 PDC payments made in 2017-18 were as follows:



GRAND TOTAL 58,902

Acquisition of Heatherwood and Wexham Park NHS FT by Frimley Park Hospital NHS FT 5.12 On 1st October 2014, Frimley Park Hospital NHS Foundation Trust acquired Heatherwood and Wexham Park NHS Foundation Trust (HWP). The transaction resulted in all staff assets and services transferring to Frimley Park Hospital NHS Foundation Trust and the trust being renamed to Frimley Health NHS Foundation Trust. 5.13 HWP had long-standing financial, quality and governance issues. The Trust was found to be in significant breach of its Terms of Authorisation in July 2009 following a major decline in operational and financial performance. Since that time, HWP had been unable to operate on a standalone basis, return to a break-even or better its financial position. Immediately prior to the acquisition, the FT was given an ‘Inadequate’ rating by the CQC and was placed in special measures. 5.14 As a result of these longstanding issues, a package of financial support was agreed between the department, the acquiring FT and local commissioning bodies to ensure that the management of the acquiring FT had the necessary support to deliver a successful integration while ensuring a balance of risk which ensures that all parties remained focused on delivering the necessary improvements. 5.15 To facilitate these changes a range of financial support was agreed and PDC payments made in 2017-18 were as follows:


RDU Frimley Health NHS Foundation Trust 40,308

GRAND TOTAL 40,308


88

Dissolution of Mid Staffordshire NHS FT 5.16 On 1st November 2014 Monitor (now NHS Improvement) made a Dissolution and Transfer Order that transferred the assets and civil liabilities of Mid Staffordshire NHS Foundation Trust (MSFT) to the Secretary of State and dissolving MSFT on 1st November 2017. Subsequently, on the 1st November 2014, the assets and civil liabilities previously owned by MSFT were transferred from the Secretary of State to the University Hospital of North Staffordshire NHS Trust (UHNS), since renamed the University Hospitals of North Midlands NHS Trust (UHNM), and Royal Wolverhampton NHS Trust (RWT). 5.17 This followed the Secretary of State’s agreement of the proposals from the TSA for MSFT in February 2014. The TSA's report recommended that MSFT is dissolved with UHNS and RWT taking on elements of the services of MSFT. 5.18 To facilitate these changes a range of financial support was agreed and PDC payments made in 2017-18 were as follows:


RJD Mid Staffordshire NHS Foundation Trust 101

GRAND TOTAL 101

Acquisition of the Royal National Hospital for Rheumatic Diseases NHS FT by the Royal United Hospitals Bath NHS FT 5.19 On 1st February 2015, Royal United Hospitals Bath NHS FT (RUHB) acquired the assets and services of Royal National Hospital for Rheumatic Disease NHS FT (RNHRD). 5.20 With a turnover of just £18m RNHRD was the smallest trust in the country and this led to recognition by the Board of the RNHRD that it could not continue in its current form and was not able to provide sustainable health services as a standalone organisation. 5.21 A package of financial support was agreed between the department, the acquiring trust and local commissioning bodies to ensure that the management of the acquiring FT has the necessary support to deliver a successful integration while ensuring a balance of risk which ensures that all parties remained focus on delivering the necessary improvements. 5.22 To facilitate these changes a range of financial support was agreed and PDC payments made in 2017-18 were as follows:


RD1 Royal United Hospitals Bath NHS Foundation Trust 3,946

GRAND TOTAL 3,946

Planned Term Support

89

Acquisition of West Middlesex NHS Trust by Chelsea and Westminster NHS FT 5.23 In 2012 the Board of the West Middlesex University Hospital NHS Trust (WMUH) agreed to seek a partner to ensure that the hospital became part of a foundation trust organisation. Following a number of years of detailed work and planning including clearance from the Competition and Markets Authority, Chelsea and Westminster NHS FT acquired the assets and services of WMUH in September 2015. 5.24 A package of financial support was agreed between the department, the acquiring FT and local commissioning groups to ensure that the management of the acquiring FT had the necessary support to deliver a successful integration. 5.25 To facilitate these changes a range of financial support was agreed and PDC payments made in 2017-18 were as follows:


RQM Chelsea & Westminster Hospital NHS Foundation Trust 17,000

GRAND TOTAL 17,000

Other Planned Term Support 5.26 The department has also agreed Planned Term Support financing to individual trusts who have presented cases that secure long term sustainability and represent value for money for the system as a whole. 5.27 PDC payments made in 2017-18 were as follows:


RMC Bolton NHS Foundation Trust 1,934

GRAND TOTAL 1,934


90

PDC Balances

91

6. PDC Balances 6.1 When created, FTs and NHS Trusts are capitalised with a mixture of loans and PDC. The PDC represents the department's equity in public assets across the NHS. Like equity, PDC is serviced, though not necessarily at a constant rate. In view of the risk that it carries, NHS organisations are required to deliver a rate of return comparable to commercial equity investments bearing a similar level of risk. 6.2 PDC may have been issued to NHS organisations as originating capital as well as for a range of other purposes such as those set out in the previous chapters. 6.3 With the consent of the HM Treasury, the Secretary of State may determine:

• the dividend which is payable at any time on any PDC issued, or treated as issued, to an NHS organisation under this Act.

• the amount of any such PDC which must be repaid at any time.

• any other terms on which PDC is issued, or treated as issued. 6.4 The value of PDC Balances held by each Trust and FT on 31st March 2018 is as follows:

Org Code Trust Name PDC Balance (£000)

RTQ ²Gether NHS Foundation Trust 46,556

REM Aintree University Hospitals NHS Foundation Trust 115,090

RCF Airedale NHS Foundation Trust 49,549

RBS Alder Hey Childrens NHS Foundation Trust 51,083

RTK Ashford and St Peter's Hospitals NHS Foundation Trust 88,888

RVN Avon and Wiltshire Mental Health Partnership NHS Trust 101,018

RF4 Barking, Havering and Redbridge Hospitals University NHS Trust 481,033

RRP Barnet, Enfield and Haringey Mental Health NHS Trust 147,814

RFF Barnsley Hospital NHS Foundation Trust 47,443


RDD Basildon and Thurrock University Hospitals NHS Foundation Trust 113,239

RC1 Bedford Hospitals NHS Trust 106,170

RWX Berkshire Healthcare NHS Foundation Trust 15,985

RXT Birmingham & Solihull Mental Health NHS Foundation Trust 101,877

RYW Birmingham Community Healthcare NHS Foundation Trust 7,179

RQ3 Birmingham Women and Childrens NHS Foundation Trust 133,469

TAJ Black Country Partnership NHS Foundation Trust 18,231

RXL Blackpool Teaching Hospitals NHS Foundation Trust 146,025

RMC Bolton NHS Foundation Trust 106,735

TAD Bradford District Care NHS Foundation Trust 34,579

RAE Bradford Teaching Hospitals NHS Foundation Trust 121,244

RY2 Bridgewater Community Healthcare NHS Foundation Trust 5,671

RXH Brighton and Sussex University Hospitals NHS Trust 337,972

RXQ Buckinghamshire Healthcare NHS Trust 183,501

RJF Burton Hospitals NHS Foundation Trust 55,376

RWY Calderdale and Huddersfield NHS Foundation Trust 116,189


92



RT1 Cambridgeshire and Peterborough NHS Foundation Trust 8,368

TAF Camden and Islington NHS Foundation Trust 60,347

RV3 Central and North West London Mental Health NHS Foundation Trust 136,289

RYX Central London Community Healthcare NHS Trust 996

RQM Chelsea & Westminster Hospital NHS Foundation Trust 244,608

RXA Cheshire and Wirral Partnership NHS Foundation Trust 36,182

RFS Chesterfield Royal Hospital NHS Foundation Trust 48,223

RLN City Hospitals Sunderland NHS Foundation Trust 104,289

REN Clatterbridge Centre for Oncology NHS Foundation Trust 23,267

RDE Colchester University Hospital NHS Foundation Trust 77,995

RJ8 Cornwall Partnership NHS Foundation Trust 9,255

RJR Countess Of Chester Hospital NHS Foundation Trust 63,600

RXP County Durham and Darlington NHS Foundation Trust 115,078

RYG Coventry and Warwickshire Partnership NHS Trust 88,754

RJ6 Croydon Health Services NHS Trust 114,741

RNN Cumbria Partnership NHS Foundation Trust 34,758

RN7 Dartford and Gravesham NHS Trust 57,989

RTG Derby Teaching Hospitals NHS Foundation Trust 169,452

RY8 Derbyshire Community Health Services NHS Foundation Trust 913

RXM Derbyshire Healthcare NHS Foundation Trust 16,418

RWV Devon Partnership NHS Trust 41,807

RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust 130,161

RBD Dorset County Hospital NHS Foundation Trust 85,317

RDY Dorset Health Care NHS Foundation Trust 31,566

RYK Dudley & Walsall Mental Health Partnership NHS Trust 47,536


RJN East Cheshire NHS Trust 39,460

RVV East Kent Hospitals University NHS Foundation Trust 191,688


RWK East London NHS Foundation Trust 79,685

RX9 East Midlands Ambulance Service NHS Trust 62,485

RYC East of England Ambulance Service NHS Trust 64,831

RXC East Sussex Healthcare NHS Trust 156,345

RVR Epsom and St Helier University Hospitals NHS Trust 182,111

R1L Essex Partnership University NHS Foundation Trust 127,245

RDU Frimley Health NHS Foundation Trust 267,972

RR7 Gateshead Health NHS Foundation Trust 113,746

RLT George Eliot Hospital NHS Trust 51,367

R1J Gloucestershire Care Services NHS Trust 79,982


RP4 Great Ormond Street Hospital For Children NHS Foundation Trust 127,280

RN3 Great Western Hospitals NHS Foundation Trust 31,520

RXV Greater Manchester Mental Health NHS Foundation Trust 105,406

PDC Balances

93


RJ1 Guy's and St Thomas' NHS Foundation Trust 367,329

RN5 Hampshire Hospitals NHS Foundation Trust 124,645

RCD Harrogate and District NHS Foundation Trust 80,265

RR1 Heart of England NHS Foundation Trust 197,197

RY4 Hertfordshire Community NHS Trust 1,131

RWR Hertfordshire Partnership NHS Foundation Trust 84,003

RQX Homerton University Hospital NHS Foundation Trust 91,703

RWA Hull and East Yorkshire Hospitals NHS Trust 214,167

RV9 Humber NHS Foundation Trust 44,320


RGQ Ipswich Hospital NHS Trust 95,895

R1F Isle of Wight NHS Trust 7,722

RGP James Paget University Hospitals NHS Foundation Trust 49,332

RXY Kent and Medway NHS and Social Care Partnership Trust 113,993

RYY Kent Community Health NHS Foundation Trust 2,613

RNQ Kettering General Hospital NHS Foundation Trust 61,129

RJZ King's College Hospital NHS Foundation Trust 226,193

RAX Kingston Hospital NHS Foundation Trust 60,464

RW5 Lancashire Care NHS Foundation Trust 105,360

RXN Lancashire Teaching Hospitals NHS Foundation Trust 222,033

RGD Leeds and York Partnership NHS Foundation Trust 19,569

RR8 Leeds Teaching Hospitals NHS Trust 335,986

RT5 Leicestershire Partnership NHS Trust 83,048


RP7 Lincolnshire Partnership NHS Foundation Trust 25,409

RY1 Liverpool Community Health NHS Trust 229

RBQ Liverpool Heart & Chest NHS Foundation Trust 64,144

REP Liverpool Womens Hospital NHS Foundation Trust 38,451

RRU London Ambulance Service NHS Trust 59,694


RC9 Luton and Dunstable Hospital NHS Foundation Trust 66,047

RWF Maidstone and Tunbridge Wells NHS Trust 207,329



RW4 Mersey Care NHS Foundation Trust 80,217

RBT Mid Cheshire Hospitals NHS Foundation Trust 76,791

RQ8 Mid Essex Hospital Services NHS Trust 175,961

RXF Mid Yorkshire Hospitals NHS Trust 203,139

RD8 Milton Keynes General Hospital NHS Foundation Trust 99,154

RP6 Moorfields Eye Hospital NHS Foundation Trust 27,189

RM1 Norfolk & Norwich University Hospital NHS Foundation Trust 28,408

RMY Norfolk and Suffolk NHS Foundation Trust 85,043

RY3 Norfolk Community Health and Care NHS Trust 15,414

RVJ North Bristol NHS Trust 242,522


94


RNL North Cumbria University Acute Hospitals NHS Trust 200,867

RX6 North East Ambulance Service NHS Foundation Trust 34,701

RAT North East London NHS Foundation Trust 60,363

RAP North Middlesex University Hospital NHS Trust 129,717

RLY North Staffordshire Combined Healthcare NHS Trust 7,648


RX7 North West Ambulance Service NHS Trust 92,720

RGN North West Anglia NHS Foundation Trust 295,366

RTV North West Boroughs Healthcare NHS Foundation Trust 45,629

RNS Northampton General Hospital NHS Trust 120,251

RP1 Northamptonshire Healthcare NHS Foundation Trust 37,256

RBZ Northern Devon Healthcare NHS Trust 56,304

RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust 126,939

RX4 Northumberland, Tyne and Wear NHS Foundation Trust 203,486

RTF Northumbria Healthcare NHS Foundation Trust 151,475

RX1 Nottingham University Hospitals NHS Trust 414,423

RHA Nottinghamshire Healthcare NHS Foundation Trust 240,562

RNU Oxford Health NHS Foundation Trust 92,749


RPG Oxleas NHS Foundation Trust 112,421

RW6 Pennine Acute Hospitals NHS Trust 211,283

RT2 Pennine Care NHS Foundation Trust 76,411



RHU Portsmouth Hospitals NHS Trust 51,428

RPC Queen Victoria Hospital NHS Foundation Trust 12,237

RL1 Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust 33,260

RXE Rotherham Doncaster and South Humber NHS Foundation Trust 36,801


RT3 Royal Brompton & Harefield NHS Foundation Trust 108,605

REF Royal Cornwall Hospitals NHS Trust 169,125

RH8 Royal Devon and Exeter NHS Foundation Trust 153,883


RQ6 Royal Liverpool and Broadgreen Hospitals University NHS Trust 246,936

RGM Royal Papworth Hospital NHS Foundation Trust 121,910

RA2 Royal Surrey County NHS Foundation Trust 68,460

RD1 Royal United Hospitals Bath NHS Foundation Trust 156,846


RNZ Salisbury NHS Foundation Trust 55,957

RXK Sandwell and West Birmingham Hospitals NHS Trust 226,891

RCU Sheffield Children's NHS Foundation Trust 39,804

TAH Sheffield Health & Social Care NHS Foundation Trust 34,201

RHQ Sheffield Teaching Hospitals NHS Foundation Trust 329,261

RK5 Sherwood Forest Hospitals NHS Foundation Trust 146,414

PDC Balances

95


RXW Shrewsbury & Telford Hospitals NHS Trust 201,372

RH5 Somerset Partnership NHS Foundation Trust 32,763

RYE South Central Ambulance Service NHS Foundation Trust 58,199

RYD South East Coast Ambulance Service NHS Foundation Trust 80,249

RV5 South London and Maudsley NHS Foundation Trust 185,948

RRE South Staffordshire and Shropshire Healthcare NHS Foundation Trust 75,957

RTR South Tees Hospitals NHS Foundation Trust 160,748

RE9 South Tyneside NHS Foundation Trust 44,589

RJC South Warwickshire NHS Foundation Trust 64,957

RQY South West London and St George's Mental Health NHS Trust 127,095

RXG South West Yorkshire Partnership NHS Foundation Trust 44,015

RYF South Western Ambulance Service NHS Foundation Trust 43,025


RW1 Southern Health NHS Foundation Trust 89,120

RVY Southport and Ormskirk Hospital NHS Trust 97,241

RJ7 St George's University Hospitals NHS Foundation Trust 133,153

RBN St Helens and Knowsley Teaching Hospitals NHS Trust 65,806

RWJ Stockport NHS Foundation Trust 84,389

RXX Surrey and Borders Partnership NHS Foundation Trust 191,494

RTP Surrey and Sussex Healthcare NHS Trust 152,894

RDR Sussex Community NHS Foundation Trust 1,514

RX2 Sussex Partnership NHS Foundation Trust 157,795

RMP Tameside and Glossop Integrated Care NHS Foundation Trust 53,446

RBA Taunton and Somerset NHS Foundation Trust 82,697

RNK Tavistock and Portman NHS Foundation Trust 3,474

RX3 Tees, Esk and Wear Valleys NHS Foundation Trust 145,053

RYV The Cambridgeshire Community Services NHS Trust 2,107


RNA The Dudley Group NHS Foundation Trust 25,951

RAS The Hillingdon Hospital NHS Foundation Trust 73,426

RY6 The Leeds Community Healthcare NHS Trust 256

RY5 The Lincolnshire Community Health Services NHS Trust 381

RTD The Newcastle Upon Tyne Hospitals NHS Foundation Trust 232,957

RQW The Princess Alexandra Hospital NHS Trust 128,151

RCX The Queen Elizabeth Hospital, Kings Lynn NHS Foundation Trust 52,319

RFR The Rotherham NHS Foundation Trust 73,403

RDZ The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust 80,679

RPY The Royal Marsden NHS Foundation Trust 104,981

RAN The Royal National Orthopaedic Hospital NHS Trust 30,089

RRJ The Royal Orthopaedic Hospital NHS Foundation Trust 36,975

RL4 The Royal Wolverhampton Hospitals NHS Trust 232,753

R1D The Shropshire Community Health NHS Trust 589

R1C The Solent NHS Trust 6,435

R1E The Staffordshire and Stoke on Trent Partnership NHS Trust 982


96


RET The Walton Centre NHS Foundation Trust 26,663


RA9 Torbay and South Devon NHS Foundation Trust 62,827

RWD United Lincolnshire Hospitals NHS Trust 257,563






RWE University Hospitals Of Leicester NHS Trust 331,956

RTX University Hospitals of Morecambe Bay NHS Foundation Trust 148,397

RJE University Hospitals of North Midlands NHS Trust 390,302

RBK Walsall Healthcare NHS Trust 58,318

RWW Warrington and Halton Hospitals NHS Foundation Trust 89,152

RWG West Hertfordshire Hospitals NHS Trust 224,671

RKL West London Mental Health NHS Trust 389,980

RYA West Midlands Ambulance Service NHS Foundation Trust 34,085


RYR Western Sussex Hospitals NHS Foundation Trust 240,845

RA3 Weston Area Health NHS Trust 71,638

RY7 Wirral Community NHS Foundation Trust 315

RBL Wirral University Teaching Hospital NHS Foundation Trust 77,575

RWP Worcestershire Acute Hospitals NHS Trust 187,347

R1A Worcestershire Health and Care NHS Trust 37,342

RRF Wrightington, Wigan and Leigh NHS Foundation Trust 97,117

RLQ Wye Valley NHS Trust 22,030

RA4 Yeovil District Hospital NHS Foundation Trust 42,089

RCB York Teaching Hospitals NHS Foundation Trust 89,797

RX8 Yorkshire Ambulance Service NHS Trust 75,168

GRAND TOTAL 26,692,324

financial assistance under section 40 of the national health … · 2018-07-13 · financial...

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